| NPI | 1407082464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL A HULL President 479-254-9662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AR E3069) |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2010-08-11 |