| NPI | 1376844878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE E MCGUIRE County Judge 870-838-7463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AR 999999) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: AR 999999) |
| 208VP0000X (Licence: AR 999999) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: AR 999999) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: AR 999999) | |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2011-04-29 |