| NPI | 1922250810 |
|---|---|
| Doing Business As | CHILDRENS UNIVERSITY MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | OLAN A NUGENT Executive Associate Dean 501-686-8135 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AR 211661) |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2008-10-22 |