| NPI | 1467547141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW B WILSON President 870-425-3737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: AR N-8297) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2010-08-27 |