| NPI | 1417554015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SCHROEDER President 479-616-2741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2022-10-19 |