NPI | 1235101601 |
---|---|
Doing Business As | WHITE RIVER HEALTH NEUROLOGY |
Entity Type | Organization |
Authorized Contact | SHAWNA BAXTER Provider Enrollment 870-262-5545 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
Enumeration Date | 2006-02-01 |
Last Update Date | 2024-04-29 |