| NPI | 1790856383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY SCALES Clinic Manager 501-955-2680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-22 |