| NPI | 1821104449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON SCOTT KELLER Physician Asst 479-443-4301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital (Licence: AR PA140) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2020-08-22 |