| NPI | 1205457405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY THOMPSON Chief Financial Officer 870-239-7102 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 208800000X Urology |
| 231H00000X Audiologist | |
| 363LF0000X Nurse Practitioner Family | |
| 363LW0102X Nurse Practitioner Women's Health | |
| 207V00000X Obstetrics & Gynecology | |
| 207XX0005X Orthopaedic Surgery Sports Medicine | |
| 208200000X Plastic Surgery | |
| 208600000X Surgery | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2021-04-06 |