| NPI | 1760650592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEN BEASLEY CEO 501-978-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2018-01-31 |