| NPI | 1790729259 |
|---|---|
| Doing Business As | MEDICAL PARK DOCTORS GROUP |
| Entity Type | Organization |
| Authorized Contact | TODD LORENZ CEO 870-722-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363LW0102X Nurse Practitioner, Women's Health | |
| 207V00000X Obstetrics & Gynecology | |
| 367A00000X Advanced Practice Midwife | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2007-12-07 |