| NPI | 1457772279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA WHIFFEN Accountant 479-967-2322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center Occupational Medicine (Licence: AR OTR2323) |
| Enumeration Date | 2013-12-20 |
| Last Update Date | 2019-11-09 |