Organization Name: | WOMAN'S CLINIC OF BRANSON, LLC |
NPI Number: | 1154508752 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DONALD KRATZ (OWNER) |
Mailing Address: | 590 Birch Rd Suite 2-b Hollister |
State: | MO US |
Postal Code: | 65672 |
Phone Number: | 4173347277 |
Fax Number: | |
NPI Enumeration Date: | 01/25/2008 |
NPI Last Update Date: | 01/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |