| NPI | 1144283169 |
|---|---|
| Doing Business As | RIVERSIDE CLINIC |
| Entity Type | Organization |
| Authorized Contact | THOMAS L EANS Owner 501-663-3732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: AR C5049) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2009-03-30 |