| NPI | 1215954086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY HOELZEMAN Manager 501-327-9532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AR C8126) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2020-08-22 |