| NPI | 1477529436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM W GALLOWAY President / Owner 479-968-6969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: AR MC0841) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2023-03-07 |