| NPI | 1659737120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRYSTA MCGUIRE Office Admin 501-733-0311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AR MC-3139) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: AR MC-3139) |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2016-01-13 |