| NPI | 1174976492 |
|---|---|
| Doing Business As | WEST GATE FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | BRENDA LARIE SOUTHERLAND Business Office Manager 501-625-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2018-04-04 |