NPI | 1427202639 |
---|---|
Doing Business As | WOUND CARE CLINIC |
Entity Type | Organization |
Authorized Contact | PHILLIP STONE President 501-513-5793 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: AR C5240) |
Additional Taxonomies | 208D00000X General Practice (Licence: AR C5964) |
208D00000X General Practice (Licence: AR E0837) | |
208D00000X General Practice (Licence: AR E3733) | |
Enumeration Date | 2008-11-14 |
Last Update Date | 2008-11-20 |