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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 # | 1487741377 |
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| LBN Legal business name | WESTSIDE GYNECOLOGY, INC. | ||||||||
| Authorized official | JOSUE VILLALTA - (PRESIDENT) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 10/10/2006 | ||||||||
| Last updated | 08/22/2020 - About 6 years ago | ||||||||
| Identifiers |
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WESTSIDE GYNECOLOGY, INC.
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WESTSIDE GYNECOLOGY, INC.