| NPI | 1093720443 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DENISE LYNN BELFORD Director Revenue Cycle Management 501-219-8900  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 208800000X Urology | 
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR 1117630001)  | 
| Enumeration Date | 2006-07-31 | 
| Last Update Date | 2024-11-11 |