| NPI | 1346211323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA NAGY Credentialing COO Rdinator 479-313-6888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: AR MC-1660) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: AR E-6436) |
| 2085R0001X Radiology Radiation Oncology (Licence: AR ARK-014-ACC-08-08) | |
| 208800000X Urology | |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2024-04-10 |