NPI | 1861478232 |
---|---|
Entity Type | Organization |
Authorized Contact | GIL E JOHNSON CEO President 501-327-6041 |
Organization Subpart ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AR C6340) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR C6340) |
208000000X Pediatrics (Licence: AR C6340) | |
Enumeration Date | 2005-12-19 |
Last Update Date | 2020-08-22 |