| NPI | 1235327867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA L LANDS Office Manager 870-236-9988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AR C5756) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2012-03-13 |