| NPI | 1578684148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN M DILLARD Owner Physician 479-922-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR MC2545) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2014-10-13 |