Genesis Obgyn Medical Group Inc.
NPI #1164517132 in Apple Valley, California
Provider Information
- NPI Number
- 1164517132
- Entity Type
- Organization
- Organization Name
- Genesis Obgyn Medical Group Inc.
- Primary Specialty
- Obstetrics & Gynecology
- Enumeration Date
- Oct 4, 2006
- Last Updated
- Nov 29, 2011
Practice Location
- Address
- 16000 APPLE VALLEY ROAD
- Address 2
- SUITE C3
- City
- Apple Valley
- State
- California
- ZIP Code
- 92307
- Phone
- (760) 946-3806
Authorized Official
- Name
- MISS WANDA ALTHEA WILBURN, MD
- Title
- OWNER OF MEDICAL PRACTICE
- Phone
- (760) 946-3806
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology |
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