| NPI | 1245208503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY D ROBERTS Md 870-268-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: AR N6752) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2013-09-16 |