| NPI | 1356317374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE D THOMPSON Administrator 479-521-4433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: AR MC-0060) |
| 251S00000X Community/Behavioral Health | |
| 261QP2300X Clinic/Center Primary Care | |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2023-10-24 |