| NPI | 1740179282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HILDA DUPWE Authorized Official 501-798-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine |
| Enumeration Date | 2025-06-30 |
| Last Update Date | 2025-06-30 |