| NPI | 1366933855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE RUCKS Office Manager 501-663-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AR C-7393) |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2018-05-21 |