| NPI | 1053344234 |
|---|---|
| Doing Business As | CREEKSIDE CENTER FOR WOMEN & LASER AESTHETICS |
| Entity Type | Organization |
| Authorized Contact | KENT A MASON Partner 479-582-9268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AR MC1823) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2011-11-08 |