| NPI | 1093720443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE LYNN BELFORD Compliance Officer 501-219-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: AR MC-1638) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR 1117630001) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2023-04-26 |