| NPI | 1982648663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE SMITHSON Administrator 479-571-4338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AR MC1831) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2008-02-19 |