| NPI | 1538486113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF M AUDIBERT Manager 479-633-4102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2010-04-22 |
| Last Update Date | 2016-11-18 |