| NPI | 1154360576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER WAKE Operations Manager 501-978-7113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: AR MC0750) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2014-10-16 |