| NPI | 1871664425 |
|---|---|
| Former Legal Business Name | OZARK GENERAL SURGERY PA |
| Entity Type | Organization |
| Authorized Contact | MICHAEL BRADLEY MAYFIELD President 870-265-9364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2009-01-09 |