| NPI | 1215230388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN D. MONSON President/Chairman 479-621-9006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AR 1401) |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2010-12-13 |