| NPI | 1538358247 |
|---|---|
| Doing Business As | PLASTIC SURGERY CLINIC OF NORTHWEST ARKANSAS |
| Entity Type | Organization |
| Authorized Contact | C RENEE SANDLIN Administrator 479-443-7771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AR R3739) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2007-10-25 |