| NPI | 1053424689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN OLIVER BRANDT Owner/President 501-625-7727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2012-12-04 |