CROWN OB/GYN PA NPI 1316228489

NPI Information

CROWN OB/GYN PA is an obstetrics gynecology in Woodbury, MN. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. CROWN OB/GYN PA NPI is 1316228489. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2056 WOODLANE DR
SUITE 100
WOODBURY, MN
ZIP 55125-917
Phone: (651) 209-0084
Fax: (651) 209-0388

The provider's authorized official is Jory M Burroughs .
The authorized official title is President / Owner and has the following contact phone number (651) 209-0084.

The enumeration date for this NPI number is 9/2/2011 and was last updated on 9/18/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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