| NPI | 1942243787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON CARROLL REEL Dpm 479-880-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AR 215) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2009-08-18 |