| NPI | 1083206866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH EMILE MILLER President/Physician 479-385-9001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2021-02-03 |