| Brent V. Witherington, M.d. P. A. | |
|
3103 Alma Hwy Van Buren AR 72956-5027 | |
| (479) 474-4483 | |
| Not Available |
| Full Name | Brent V. Witherington, M.d. P. A. |
|---|---|
| Speciality | Family Medicine |
| Location | 3103 Alma Hwy, Van Buren, Arkansas |
| Authorized Official Name and Position | Brent V. Witherington (PRESIDENT) |
| Authorized Official Contact | 5016808963 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brent V. Witherington, M.d. P. A. 11701 Southcrest Dr Fort Smith AR 72916-9341 Ph: (501) 680-8963 | Brent V. Witherington, M.d. P. A. 3103 Alma Hwy Van Buren AR 72956-5027 Ph: (479) 474-4483 |
| NPI Number | 1972247211 |
|---|---|
| Provider Enumeration Date | 04/22/2022 |
| Last Update Date | 07/27/2022 |
| Medicare PECOS PAC ID | 6305229147 |
|---|---|
| Medicare Enrollment ID | O20220811002460 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972247211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Brent V Witherington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427144005 PECOS PAC ID: 4082796800 Enrollment ID: I20080131000375 |
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