| NPI | 1427235449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PITTMAN MOORE Owner 870-338-8778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: AR E-5004) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2009-07-07 |