| NPI | 1386634285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA FRIDDLE Sparks Provider Relations Manager 479-709-7057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 103T00000X Psychologist |
| 207N00000X Dermatology | |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 2083X0100X Preventive Medicine Occupational Medicine | |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 2085B0100X Radiology Body Imaging | |
| 2085N0700X Radiology Neuroradiology | |
| 2085N0904X Radiology Nuclear Radiology | |
| 2085P0229X Radiology Pediatric Radiology | |
| 208600000X Surgery | |
| 208VP0000X Pain Medicine Pain Medicine | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2009-10-28 |