| NPI | 1649747502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN SHAFIZADEH Md Ph D 501-552-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2018-10-30 |