| NPI | 1912348939 |
|---|---|
| Doing Business As | VIA |
| Entity Type | Organization |
| Authorized Contact | KARLA CARDON Billing Manager 479-966-7003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A003800) |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2013-07-08 |