| NPI | 1285755181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE G. RYAN Office Manager 479-524-8552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: AR ON8070) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |