NPI | 1396854642 |
---|---|
Former Legal Business Name | OFFICE PARK FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | ELWYN JOE PERSER Physician 501-225-9222 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR MC1513) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2014-06-03 |