| NPI | 1790142859 |
|---|---|
| Doing Business As | BAXTER REGIONAL APRN CLINIC |
| Entity Type | Organization |
| Authorized Contact | LEONARD B LARRY Vice President 870-424-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2016-03-21 |