| NPI | 1346478484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA LOUISE BELL President 870-741-4368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: AR E-6167) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: AR T2009-076) |
| Enumeration Date | 2009-06-28 |
| Last Update Date | 2012-08-31 |