| NPI | 1396634820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER MARSHALL DAUT Medical Director 479-442-5227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2025-06-30 |
| Last Update Date | 2025-06-30 |