| NPI | 1992146856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WAYNE ENNS President 501-404-9582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2024-01-16 |