| NPI | 1205977196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY DEAN SHRUM President 870-534-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AR E0704) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |