| NPI | 1457077174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALLIE MUILENBURG Revenue Cycle Manager 501-503-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2022-10-14 |
| Last Update Date | 2022-10-14 |