| NPI | 1922457647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES B BAKER Physician 479-319-6009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: AR N8006) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2025-02-24 |