NPI | 1790742328 |
---|---|
Entity Type | Organization |
Authorized Contact | PAMELA J HOOPER Administrator 501-945-5800 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AR AR3746) |
Enumeration Date | 2006-04-27 |
Last Update Date | 2009-11-13 |