| NPI | 1861455057 |
|---|---|
| Doing Business As | BANISTER-LIEBLONG CLINIC |
| Entity Type | Organization |
| Authorized Contact | LANDER A SMITH Chief Financial Officer 501-329-3824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2015-01-06 |