| NPI | 1093772436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLIE BLEVINS SHAW Owner President 501-327-3929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: AR C7970) |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2007-07-10 |