| NPI | 1124346739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM GOLDEN Clinic Manager 501-221-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 174400000X Specialist |
| 174400000X Specialist | |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2012-03-07 |