| Physician's Management Group | |
|
2520 W Main St Jacksonville AR 72076-4214 | |
| (501) 982-0528 | |
| (501) 985-7777 |
| Full Name | Physician's Management Group |
|---|---|
| Speciality | Psychologist - Intellectual & Developmental Disabilities |
| Location | 2520 W Main St, Jacksonville, Arkansas |
| Authorized Official Name and Position | Robert Farrell (CEO) |
| Authorized Official Contact | 5016634204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician's Management Group 501 N Elm St Little Rock AR 72205-3927 Ph: (501) 663-4204 | Physician's Management Group 2520 W Main St Jacksonville AR 72076-4214 Ph: (501) 982-0528 |
| NPI Number | 1871756437 |
|---|---|
| Provider Enumeration Date | 07/03/2008 |
| Last Update Date | 07/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871756437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | C5129 (Arkansas) | Primary |
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