NPI | 1366490997 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES R WHARTON President 479-750-7200 |
Organization Subpart ? | No |
Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: AR MC1781) |
Additional Taxonomies | 207N00000X Dermatology (Licence: AR MC1781) |
207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: AR MC1781) | |
207NS0135X Dermatology, Procedural Dermatology (Licence: AR MC1781) | |
Enumeration Date | 2006-05-05 |
Last Update Date | 2010-01-06 |