| NPI | 1225368830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL FREDERICK WHIPPLE Physician 870-628-5391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR R-4516) |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2020-02-19 |