| NPI | 1417161233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE P MEADOR Owner 501-771-2835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine (Licence: AR C6185) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2010-03-19 |