| NPI | 1366727471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY RASMUSSEN-JONES Secretary 479-201-4835 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QH0002X Family Medicine Hospice and Palliative Medicine |
| Additional Taxonomies | 207PH0002X Emergency Medicine Hospice and Palliative Medicine |
| 207RH0002X Internal Medicine Hospice and Palliative Medicine | |
| 2081H0002X Physical Medicine & Rehabilitation Hospice and Palliative Medicine | |
| 2084H0002X Psychiatry & Neurology Hospice and Palliative Medicine | |
| 2086H0002X Surgery Hospice and Palliative Medicine | |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2011-10-26 |