NPI | 1477688554 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN HENRY FINCK Manager 479-394-4703 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AR R3577) |
Enumeration Date | 2007-02-22 |
Last Update Date | 2011-03-14 |