| NPI | 1295983237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI A DEVLIN Owner/Physician 870-642-4364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AR E-2169) |
| Additional Taxonomies | 208D00000X General Practice (Licence: AR E-2169) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2014-04-24 |