| NPI | 1003881855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY L. RODGERS Office Manager 870-932-1820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AR MC2188) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2011-10-27 |