| NPI | 1881176303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER BILLINGSLEY Contract Compliance Specialist 870-262-5545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2018-08-31 |