NPI | 1346289709 |
---|---|
Entity Type | Organization |
Authorized Contact | O T GORDON President 870-534-3344 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AR C5353) |
Enumeration Date | 2006-06-04 |
Last Update Date | 2008-03-24 |