| NPI | 1629565072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS REYNOLDS WOOD Manager 479-431-7085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: AR E5219) |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2019-01-28 |