| NPI | 1841381662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER NEAL BISE Owner 479-478-8555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: AR MC2185) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2009-11-05 |