Ivey Family Medicine | |
2905 S Walton Blvd. Suite 17 Bentonville AR 72712-7848 | |
(479) 657-6501 | |
(479) 657-6375 |
Full Name | Ivey Family Medicine |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 2905 S Walton Blvd., Bentonville, Arkansas |
Authorized Official Name and Position | Traci Ivey (PROPRIETOR/PHYSICIAN) |
Authorized Official Contact | 4796576501 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ivey Family Medicine Po Box 3570 Bentonville AR 72712-7718 Ph: (479) 657-6501 | Ivey Family Medicine 2905 S Walton Blvd. Suite 17 Bentonville AR 72712-7848 Ph: (479) 657-6501 |
NPI Number | 1932539624 |
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Provider Enumeration Date | 11/18/2013 |
Last Update Date | 11/18/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932539624 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | R-4023 (Arkansas) | Primary |
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