NPI | 1639208382 |
---|---|
Entity Type | Organization |
Authorized Contact | BEN T WILKINS President 501-279-0502 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: AR E3747) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AR A03713) |
Enumeration Date | 2007-03-05 |
Last Update Date | 2017-02-14 |