| NPI | 1225161599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA L STELL Office Manager 479-785-2229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AR E2520) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AR C6638) |
| 207V00000X Obstetrics & Gynecology (Licence: AR C7135) | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2008-02-13 |