| NPI | 1447699434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENNY J STOVER Vice President Finance 479-338-2230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2013-06-23 |
| Last Update Date | 2018-04-03 |