| 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 |