| NPI | 1649210584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY DAVENPORT Chief Operating Officer 479-587-3149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AR MC-0077) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery |
| 208100000X Physical Medicine & Rehabilitation | |
| 261QU0200X Clinic/Center Urgent Care | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2023-04-27 |