PREMIER GYNECOLOGY INC. NPI 1790070191

NPI Information

PREMIER GYNECOLOGY, INC. is a gynecology obstetrics gynecology in Canton, OH. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee PREMIER GYNECOLOGY, INC. NPI is 1790070191. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4256 FULTON DR NW
STE B
CANTON, OH
ZIP 44718-879
Phone: (330) 546-0751
Fax: (330) 956-5237

The provider's authorized official is Joann Krivetzky .
The authorized official title is President and has the following contact phone number (330) 546-0751.

The enumeration date for this NPI number is 6/14/2011 and was last updated on 6/14/2011.

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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