| NPI | 1396244505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADFORD STEWARD Owner 479-799-5520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-7271) |
| Additional Taxonomies | 2083B0002X Preventive Medicine Obesity Medicine (Licence: AR E-7271) |
| Enumeration Date | 2018-02-03 |
| Last Update Date | 2019-06-19 |