| NPI | 1427379387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK N WILSON President/ Owner 501-374-0360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AR 27063) |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2010-12-01 |