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10 Medical Plz Mountain Home AR 72653-2918 | |
(870) 424-3824 | |
(870) 424-3826 |
Full Name | |
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Speciality | Pediatrics |
Location | 10 Medical Plz, Mountain Home, Arkansas |
Authorized Official Name and Position | Debra Henry (CFO) |
Authorized Official Contact | 8705081003 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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10 Medical Plz Mountain Home AR 72653-2918 Ph: (870) 424-3824 | 10 Medical Plz Mountain Home AR 72653-2918 Ph: (870) 424-3824 |
NPI Number | 1174131502 |
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Provider Enumeration Date | 07/22/2020 |
Last Update Date | 07/19/2023 |
Identifier | Type | State | Issuer |
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1174131502 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
208000000X | Pediatrics | (* (Not Available)) | Primary |
Regional Family Medicine Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 630 Burnett Dr, Mountain Home, AR 72653 Phone: 870-425-6971 Fax: 870-508-8900 | |
Yourpersonalmd.com Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 S College St, Suite 3, Mountain Home, AR 72653 Phone: 870-424-9763 Fax: 870-424-9762 | |