| NPI | 1447461900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARENCE JAY ARENDALL Medical Doctor 479-675-2228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E3514) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2008-07-02 |