Organization
LADIES FIRST OB/GYN OBSTETRICAL SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNEST GIBSON (OFFICE MANAGER)
(573) 756-9107
Entity
Organization
Contact information
Practice address
1103 WEBER RD, SUITE 203, FARMINGTON, MO 63640-3345
(573) 756-9107
(573) 756-9630
Mailing address
1103 WEBER RD, SUITE 203, FARMINGTON, MO 63640-3345
(573) 756-9107
(573) 756-9630
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
505786905
—
MO
Enumeration date
09/12/2006
Last updated
02/17/2011
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