| NPI | 1922111780 |
|---|---|
| Doing Business As | WESTSIDE FAMILY MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY M KILLOUGH Owner Physician 501-268-3733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR C7302) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2011-09-07 |