| NPI | 1295281293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH JESSICA-ELISE COLUCCINO Office Manager 479-242-2888 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2017-12-15 |