| NPI | 1982920039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH S QUADE Owner 501-316-5010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2012-07-23 |