| NPI | 1417110230 |
|---|---|
| Doing Business As | AHEC FAYETTEVILLE PEDIATRIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | B J ROBERTS Chief Financial Officer 479-521-8269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2010-01-28 |