| NPI | 1578906657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMI HARMONING CFO 479-338-2267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| 2086S0129X | |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2025-05-02 |