| NPI | 1144876418 |
|---|---|
| Other Name | BROCK WRINKLES, PA-C |
| Entity Type | Organization |
| Authorized Contact | BROCK HARRISON WRINKLES CEO 501-599-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2023-03-21 |