NPI | 1558863373 |
---|---|
Doing Business As | OZARK MOUNTAIN HEALTH AND WELLNESS |
Entity Type | Organization |
Authorized Contact | KELLEY OLIVER President 479-387-4920 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A004049) |
Enumeration Date | 2018-03-07 |
Last Update Date | 2018-06-16 |