| NPI | 1780605840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN MICHAEL CHATELAIN Owner/Physician 501-217-8467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AR R-3974) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2009-07-21 |