| NPI | 1396820437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A MARTINDALE Owner 501-315-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR C7310) |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics (Licence: AR E5062) | |
| 208000000X Pediatrics (Licence: AR c7310) | |
| 208D00000X General Practice (Licence: AR C2718) | |
| 208D00000X General Practice | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2023-04-28 |