| NPI | 1881050334 |
|---|---|
| Doing Business As | WHITE RIVER MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | GENICE HANSON Director 870-262-2952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2016-01-13 |