| NPI | 1710746532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA BATEMAN Specialist Eqiupment Tech 501-623-1006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2024-03-14 |
| Last Update Date | 2024-03-14 |