| NPI | 1194868281 |
|---|---|
| Other Name | NWA PODIATRY CENTER INC. |
| Entity Type | Organization |
| Authorized Contact | PHETSAMONE PETER XAYSANASY Owner 479-251-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: AR 193) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2011-01-03 |