NPI | 1194344358 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT J TOMLINSON Managing Member 479-856-1505 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine |
Enumeration Date | 2020-04-08 |
Last Update Date | 2021-08-25 |