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 |