NPI | 1912430018 |
---|---|
Doing Business As | ALLEGIANT WELLNESS AND TESTOSTERONE REPLACEMENT HOT SPRINGS |
Entity Type | Organization |
Authorized Contact | JENNIFER L WALKER President 501-503-9955 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2017-04-05 |
Last Update Date | 2017-04-05 |