| NPI | 1629047790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM G BARRON Owner 479-967-7717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AR MC2352) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2008-04-18 |