NPI | 1366060576 |
---|---|
Doing Business As | WEST SIDE CLINICAL SERVICES |
Entity Type | Organization |
Authorized Contact | BLAKE TORRES Owner 501-778-3151 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2020-07-14 |
Last Update Date | 2020-10-19 |