| NPI | 1659513265 |
|---|---|
| Doing Business As | BODYLOGICMD OF LITTLE ROCK |
| Entity Type | Organization |
| Authorized Contact | CONSTANCE J CRISP Director 866-928-6583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AR E2030) |
| Enumeration Date | 2009-03-27 |
| Last Update Date | 2009-03-27 |