NPI | 1235194689 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN G BEARD Billing Manager 479-478-7059 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: AR N8359) |
Additional Taxonomies | 174400000X Specialist (Licence: AR R3835) |
Enumeration Date | 2006-04-19 |
Last Update Date | 2007-11-19 |