Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Sleep Disorder Diagnostic |
261QS1200X |
| NPI Number | 1588809792 |
| LBN Legal business name | NORTHEAST ARKANSAS CLINIC, P.A. |
| Authorized official | DARRELL KING - (COO) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 12/03/2008 |
| Last updated | 12/03/2008 - About 18 years ago |
| Identifiers | n/a |
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