| NPI | 1376639344 |
|---|---|
| Doing Business As | MALVERN DIAGNOSTIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | BRUCE KENT BURTON President Owner 501-337-9031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AR MC 0784) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2009-11-18 |