| NPI | 1407087224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL D SCHRADER Owner 870-864-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AR E3620) |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2009-07-28 |