| NPI | 1871622621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL BENJAMIN OATES Family Practice Physician 479-251-1552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: AR C-5922) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |