NPI | 1639401946 |
---|---|
Entity Type | Organization |
Authorized Contact | LISHA HALL Biller/Receptionist 870-425-6212 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: AR E4390) |
Enumeration Date | 2010-02-11 |
Last Update Date | 2010-02-11 |