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5 Medical Park Dr Suite 305 Benton AR 72015-3729 | |
(501) 574-7400 | |
(501) 574-7401 |
Full Name | |
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Speciality | Internal Medicine - Geriatric Medicine |
Location | 5 Medical Park Dr, Benton, Arkansas |
Authorized Official Name and Position | Kimberly Titsworth (DIRECTOR, PHYSICIAN SERVICES) |
Authorized Official Contact | 5017766093 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 2577 Benton AR 72018-2577 Ph: (501) 776-6252 | 5 Medical Park Dr Suite 305 Benton AR 72015-3729 Ph: (501) 574-7400 |
NPI Number | 1538410147 |
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Provider Enumeration Date | 09/21/2012 |
Last Update Date | 09/21/2012 |
Identifier | Type | State | Issuer |
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1538410147 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
Epoch Health- Benton, Pllc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Medical Park Dr, Benton, AR 72015 Phone: 877-321-8452 | |
Ascent Childrens Heath Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3214 Winchester Dr., Benton, AR 72015 Phone: 501-326-6160 Fax: 501-326-6161 | |
Congo Dental, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2101 Congo Rd Ste C, Benton, AR 72015 Phone: 501-778-1400 Fax: 501-778-6194 | |
Saline Physician Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Park Dr, Benton, AR 72015 Phone: 501-776-6010 | |