| NPI | 1548256365 |
|---|---|
| Doing Business As | RIVERCREST SPECIALTY SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | JERRY KINCAID Administrator 501-217-9007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AR AR4172) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2008-07-09 |