| NPI | 1043522212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE SHRUM Owner 870-743-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AR MC-2227) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AR MC-2227) |
| 208000000X Pediatrics (Licence: AR MC-2227) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AR MC-2227) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: AR MC-2227) | |
| Enumeration Date | 2010-07-05 |
| Last Update Date | 2010-07-05 |