| NPI | 1457733057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEVIN ALLEN SMITH Organizer/ President 501-327-6665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: AR MC3115) |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2016-03-30 |