NPI | 1528578002 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMOTHY R COOK Physician/Owner 501-955-7676 |
Organization Subpart ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AR E0808) |
Enumeration Date | 2017-10-10 |
Last Update Date | 2017-10-10 |