| NPI | 1902121494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN VAUGHN CFO 870-265-5351 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR AR4386) |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2015-06-25 |