| NPI | 1518341643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUKE MOFFITT Administrator 479-725-3055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LX0106X Nurse Practitioner Occupational Health (Licence: AR ATP-000823) |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2015-07-18 |