| NPI | 1467985556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVANGELINE ISABELLA PEARROW Clinic Admin 870-213-0522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-9948) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: AR E-9948) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2025-05-05 |