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 |