| NPI | 1528721271 |
|---|---|
| Doing Business As | CHAFFEE CROSSING CLINIC |
| Entity Type | Organization |
| Authorized Contact | KENDALL DARREN WAGNER Physician 501-766-6311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-10-20 |
| Last Update Date | 2021-10-20 |