| NPI | 1760410229 |
|---|---|
| Doing Business As | WHITE RIVER MED PHYSICIANS |
| Entity Type | Organization |
| Authorized Contact | SHAWNA BAXTER Provider Enrollment 870-262-5545 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 207P00000X Emergency Medicine | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 208M00000X Hospitalist | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2024-05-02 |