| NPI | 1598074551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA G KELLY President/Owner/Administration 479-709-8395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2010-09-24 |