| NPI | 1396173514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETA WILCHER CFO 479-314-6104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 231H00000X Audiologist |
| Enumeration Date | 2013-10-25 |
| Last Update Date | 2025-04-30 |