| NPI | 1740219997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM B NOWLIN President 479-443-9443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: AR MC-1354) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2020-08-22 |