| NPI | 1376841171 |
|---|---|
| Doing Business As | PREVENTION PLUS |
| Entity Type | Organization |
| Authorized Contact | JONNA BRYANT Billing Director 479-464-8834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2011-05-25 |