| NPI | 1952697138 |
|---|---|
| Doing Business As | BATESVILLE PULMONARY CLINIC |
| Entity Type | Organization |
| Authorized Contact | SHAWNA BAXTER Provider Enrollment Specialist 870-262-5545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Enumeration Date | 2011-06-25 |
| Last Update Date | 2024-06-12 |