| NPI | 1902860679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAIRE B. PRICE Chief Of Staff 479-782-8892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center Ophthalmologic Surgery (Licence: AR AR4308) |
| Additional Taxonomies | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: AR MC1632) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2010-02-23 |