| NPI | 1629364492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN S. LAMBERT Owner 870-793-4445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: AR PA-427) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2011-06-21 |