NPI | 1679085310 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN D WRIGHT Physician 479-242-3668 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0000X Podiatrist, Sports Medicine (Licence: AR 137) |
Enumeration Date | 2017-11-03 |
Last Update Date | 2018-01-29 |