| NPI | 1083032312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL GREG GAMBILL Owner 479-632-8889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: AR 2868) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2014-04-03 |