Dermott Family Practice, Inc. | |
105 N Freeman St Dermott AR 71638-2304 | |
(870) 538-3800 | |
Not Available |
Full Name | Dermott Family Practice, Inc. |
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Speciality | General Practice |
Location | 105 N Freeman St, Dermott, Arkansas |
Authorized Official Name and Position | Carolyn E. Vogler (PRESIDENT) |
Authorized Official Contact | 8705383800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dermott Family Practice, Inc. Po Box 227 Dermott AR 71638-0227 Ph: (870) 538-3800 | Dermott Family Practice, Inc. 105 N Freeman St Dermott AR 71638-2304 Ph: (870) 538-3800 |
NPI Number | 1992979181 |
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Provider Enumeration Date | 04/17/2008 |
Last Update Date | 04/17/2008 |
Identifier | Type | State | Issuer |
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1992979181 | NPI | - | NPPES |
154472001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | E-3872 (Arkansas) | Primary |
Mainline Health Systems, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 134 South Strickland St, Dermott, AR 71638 Phone: 870-538-5414 Fax: 870-538-5412 |