NPI | 1699147991 |
---|---|
Entity Type | Organization |
Authorized Contact | DANA WEST President 479-325-9749 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AR 1533) |
207ND0900X Dermatology, Dermatopathology (Licence: AR E-7097) | |
207RR0500X Internal Medicine, Rheumatology (Licence: AR E-5405) | |
Enumeration Date | 2015-10-26 |
Last Update Date | 2015-10-26 |