A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gynecology |
207VG0400X | 16 | Physician/Obstetrics & Gynecology |
| NPI # | 1215198742 |
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| LBN Legal business name | CLINTON COUNTY HOSPITAL PHYSICIAN GROUP | ||||
| Authorized official | JOHN MULLINS - (ADMINISTRATOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 06/18/2008 | ||||
| Last updated | 06/18/2008 - About 18 years ago | ||||
| Identifiers |
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