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 Number | 1982764981 |
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| LBN Legal business name | CENTER FOR ADVANCED GYNECOLOGY REVOCABLE TRUST | ||||
| Authorized official | DEBRA YOCUM - (VICE PRESIDENT) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 12/11/2006 | ||||
| Last updated | 09/17/2008 - About 18 years ago | ||||
| Identifiers |
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CENTER FOR ADVANCED GYNECOLOGY REVOCABLE TRUST
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