NPI | 1023033859 |
---|---|
Doing Business As | BENTON WOMEN'S CLINIC |
Entity Type | Organization |
Authorized Contact | JOHN VINCENT BAKA Physician 501-778-1000 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: AR E0792) |
Enumeration Date | 2006-07-13 |
Last Update Date | 2011-01-24 |