| NPI | 1477984979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL NICHOLE SEALS Business Director 479-636-0171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AR R2036) |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2013-12-09 |