| Baxter Regional Gastroenterology Clinic | |
|
228 Bucher Dr Mountain Home AR 72653-3400 | |
| (870) 425-4416 | |
| (870) 425-8615 |
| Full Name | Baxter Regional Gastroenterology Clinic |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 228 Bucher Dr, 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 |
|---|---|
| Baxter Regional Gastroenterology Clinic Po Box 958539 Saint Louis MO 63195-8539 Ph: (508) 475-0450 | Baxter Regional Gastroenterology Clinic 228 Bucher Dr Mountain Home AR 72653-3400 Ph: (870) 425-4416 |
| NPI Number | 1457893281 |
|---|---|
| Provider Enumeration Date | 11/10/2016 |
| Last Update Date | 10/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457893281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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