| NPI | 1669424339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN STEVEN MATHEWS Co Owner 501-623-4101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: AR AR4289) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-08-22 |