| NPI | 1306097365 |
|---|---|
| Doing Business As | ENDOCRINOLOGY OF SOUTH ARKANSAS |
| Entity Type | Organization |
| Authorized Contact | WALTER JOHNSON CEO 870-541-7269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2011-01-21 |