| NPI | 1912221268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN DORNBLASER Director Of Corporate Operations 479-434-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AR A01024) |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2023-03-07 |