| NPI | 1437125366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD O. WRIGHT Chief Of Staff 870-297-2475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207R00000X Internal Medicine | |
| 208600000X Surgery | |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2012-04-03 |