| NPI | 1275584575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM S DYER Secretary/Owner 870-425-4402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| 2085R0001X | |
| 207RX0202X Internal Medicine, Medical Oncology | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2015-11-25 |