| NPI | 1275541427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | O.T. GORDON Managing Member 870-534-3344 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0800X Clinic/Center, Endoscopy (Licence: AR AR4347) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2013-11-25 |