| NPI | 1053778266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDRA BLISS Office Manager 479-876-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AR E-3417) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AR E-7546) |
| 207V00000X Obstetrics & Gynecology (Licence: AR E-6081) | |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2019-04-08 |