| NPI | 1770534703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY HURT CFO 479-571-6780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Additional Taxonomies | 208D00000X General Practice |
| 363LW0102X Nurse Practitioner, Women's Health | |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2024-01-17 |