| NPI | 1134242191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN R. MAES Physician Owner 870-741-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AR C8283) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |