| Baxter Regional Center For Integrative Medicine, Llc | |
|
610 Broadmoor Dr Mountain Home AR 72653-2903 | |
| (870) 508-7530 | |
| Not Available |
| Full Name | Baxter Regional Center For Integrative Medicine, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 610 Broadmoor Dr, Mountain Home, Arkansas |
| Authorized Official Name and Position | Ron Peterson (MANAGER) |
| Authorized Official Contact | 8705081018 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baxter Regional Center For Integrative Medicine, Llc 610 Broadmoor Dr Mountain Home AR 72653-2903 Ph: (870) 508-7530 | Baxter Regional Center For Integrative Medicine, Llc 610 Broadmoor Dr Mountain Home AR 72653-2903 Ph: (870) 508-7530 |
| NPI Number | 1922475045 |
|---|---|
| Provider Enumeration Date | 08/24/2015 |
| Last Update Date | 08/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922475045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E2090 (Arkansas) | Primary |
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