| NPI | 1215227764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY HURT CFO 479-571-6780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RG0100X Internal Medicine Gastroenterology | |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2024-04-16 |