NPI | 1467510255 |
---|---|
Doing Business As | VILLAGE INTERNAL MEDICINE |
Entity Type | Organization |
Authorized Contact | PEGGY BODEMANN Administrator 501-623-2781 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AR MC1988) |
Enumeration Date | 2006-12-05 |
Last Update Date | 2009-11-04 |