NPI | 1588692198 |
---|---|
Doing Business As | THE PEDIATRIC CLINIC |
Entity Type | Organization |
Authorized Contact | TONYA SIMS Administrator 501-758-1530 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
Enumeration Date | 2006-06-30 |
Last Update Date | 2021-08-05 |