| NPI | 1811608292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMARACHI ONYEBUEKE Program Coordinator 479-268-1905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2022-12-07 |
| Last Update Date | 2026-05-11 |