| NPI | 1851467831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH J BOLYARD Chairman, Gove RN Ing Body 479-709-7272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: AR AR4378) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2008-05-13 |