| NPI | 1831443696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE CLOUSE President 479-410-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AR A004094) |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2015-05-14 |