| NPI | 1992125850 |
|---|---|
| Doing Business As | WRMC SURGERY CLINIC |
| Entity Type | Organization |
| Authorized Contact | SHAWNA BAXTER Provider Enrollment 870-262-5545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207Y00000X Otolaryngology |
| 208600000X Surgery | |
| 208800000X Urology | |
| 231H00000X Audiologist | |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2024-05-02 |