| NPI | 1265591267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANA NAYLES Office Administrator 501-371-0055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR C6342) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2016-11-07 |