| NPI | 1831464759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN KYLER POMEROY Owner/Operator 501-625-3446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AR 15939) |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2018-12-12 |