NPI | 1154350213 |
---|---|
Entity Type | Organization |
Authorized Contact | COURTNEY AYN DUVALL Billing Manager 479-967-7044 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR C6448) |
Enumeration Date | 2006-07-01 |
Last Update Date | 2020-08-22 |