| NPI | 1548556905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENNY J STOVER Vice President Finance 479-338-2230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2018-04-03 |