| NPI | 1881612703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KITTIE A AARON Executive Director 501-932-0559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2015-06-15 |