| NPI | 1093489072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAINT ADEOGBA Md 501-954-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine |
| Additional Taxonomies | 174H00000X Health Educator |
| 2083B0002X Preventive Medicine Obesity Medicine | |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2024-01-03 |