| NPI | 1356662878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE ELIZABETH WARD Office Manager 479-782-0244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207LH0002X Anesthesiology Hospice and Palliative Medicine |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2024-03-11 |