| NPI | 1164644308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY EDWIN GATELY President 479-970-9897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: AR C-6606) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2010-09-13 |