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507 W Monroe Ave Suite A Lowell AR 72745-8909 | |
(479) 463-8150 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 507 W Monroe Ave, Lowell, Arkansas |
Authorized Official Name and Position | William L Bradley (CEO) |
Authorized Official Contact | 4794636300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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507 W Monroe Ave Suite A Lowell AR 72745-8909 Ph: (479) 463-8150 | 507 W Monroe Ave Suite A Lowell AR 72745-8909 Ph: (479) 463-8150 |
NPI Number | 1801299268 |
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Provider Enumeration Date | 09/30/2014 |
Last Update Date | 01/06/2015 |
Identifier | Type | State | Issuer |
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1801299268 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Petty Medical Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 Harrison Ave, Suite C, Lowell, AR 72745 Phone: 479-254-1005 Fax: 479-668-4003 | |