| NPI | 1063464964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN M SHRUM Owner 870-743-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: AR MC2227) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-08-05 |