| NPI | 1215102702 |
|---|---|
| Doing Business As | PHYSICIAN'S GROUP |
| Entity Type | Organization |
| Authorized Contact | KAITLYN GUNN Clinic Financial Director 870-845-6051 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2019-12-18 |