| NPI | 1891018958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ALLEN ZIMMERMAN President/Owner/Physican 479-636-9669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AR E-4951) |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2013-09-03 |