| NPI | 1205056595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD CRAIG DAVIS Owner 870-777-7581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080H0002X Pediatrics, Hospice and Palliative Medicine (Licence: AR C5391) |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2020-08-22 |