| NPI | 1811173263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY B WELLS Owner 870-424-7070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: AR N7796) |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2008-02-26 |