| NPI | 1164390852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARYL BURROWS Owner 479-903-4355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2025-10-25 |
| Last Update Date | 2025-10-27 |