| NPI | 1891022596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOB E COGBURN Owner/Practicing Physician 870-425-5354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AR C-4698) |
| Enumeration Date | 2009-11-17 |
| Last Update Date | 2009-12-14 |