| NPI | 1508802034 |
|---|---|
| Doing Business As | SAMA HEALTHCARE SERVICES IDTF |
| Entity Type | Organization |
| Authorized Contact | JERRY E DETWILER Administrator 870-864-8120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2020-08-22 |