NPI | 1891995452 |
---|---|
Entity Type | Organization |
Authorized Contact | BRENDA KETCHER Owner 501-623-7800 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AR C8125) |
Enumeration Date | 2007-07-23 |
Last Update Date | 2014-08-06 |