| NPI | 1114947652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA L STELL Office Manager 479-785-2229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AR C-6638) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-08-22 |