Glomar Medical Nwa Pllc | |
4305 S Pleasant Crossing Blvd Ste 103 Rogers AR 72758-1347 | |
(800) 511-2747 | |
(501) 255-9109 |
Full Name | Glomar Medical Nwa Pllc |
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Speciality | Family Medicine |
Location | 4305 S Pleasant Crossing Blvd Ste 103, Rogers, Arkansas |
Authorized Official Name and Position | Jan Chesney (BILLING MANAGER) |
Authorized Official Contact | 3177969785 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Glomar Medical Nwa Pllc 4305 S Pleasant Crossing Blvd Ste 103 Rogers AR 72758-1347 Ph: (800) 511-2747 | Glomar Medical Nwa Pllc 4305 S Pleasant Crossing Blvd Ste 103 Rogers AR 72758-1347 Ph: (800) 511-2747 |
NPI Number | 1063286177 |
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Provider Enumeration Date | 11/09/2023 |
Last Update Date | 11/09/2023 |
Medicare PECOS PAC ID | 4183074578 |
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Medicare Enrollment ID | O20231227002592 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063286177 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Anthony Alan Meloy |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003227166 PECOS PAC ID: 7012223035 Enrollment ID: I20161118000017 |
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