| NPI | 1144754797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN HART Office Manager 479-755-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2021-01-13 |