| Harrison Family Practice Clinic, Pa | |
|
715 W Sherman Ave Suite G Harrison AR 72601-2743 | |
| (870) 741-8247 | |
| (870) 741-3933 |
| Full Name | Harrison Family Practice Clinic, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 715 W Sherman Ave, Harrison, Arkansas |
| Authorized Official Name and Position | Mahlon Ogden Maris (OWNER) |
| Authorized Official Contact | 8707418247 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harrison Family Practice Clinic, Pa Po Box 1597 Harrison AR 72602-1597 Ph: (870) 741-8247 | Harrison Family Practice Clinic, Pa 715 W Sherman Ave Suite G Harrison AR 72601-2743 Ph: (870) 741-8247 |
| NPI Number | 1093781825 |
|---|---|
| Provider Enumeration Date | 02/23/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093781825 | NPI | - | NPPES |
| 1028 | Other | AR | HEALTH SOURCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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