| NPI | 1881029627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY HURT CFO 479-571-6780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2024-01-17 |