| NPI | 1699016774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENNY J STOVER Vice President Finance 479-338-2230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2018-06-20 |