NPI | 1730787037 |
---|---|
Other Name | WACGC - PRIMARY CARE CLINIC |
Entity Type | Organization |
Authorized Contact | AARON L. 'RUSTI' HOLWICK CEO 479-452-6650 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2020-10-09 |
Last Update Date | 2024-06-06 |