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 |