| NPI | 1376820167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES JAY BRANTLEY Managing Member 479-549-3835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AR 152) |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2013-08-09 |