| NPI | 1255878690 |
|---|---|
| Doing Business As | WHITE RIVER CARDIOLOGY CLINIC |
| Entity Type | Organization |
| Authorized Contact | SHAWNA BAXTER Provider Enrollment 870-262-5545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2024-05-02 |