| NPI | 1407913809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOB W SMITH Owner 501-279-2569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AR C-4055) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |