| NPI | 1255358263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CRAIG SHIRLEY Owner 501-327-5850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: AR N-7212) |
| Additional Taxonomies | 174400000X Specialist (Licence: AR MC-1601) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2011-11-21 |