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1306 North Lincoln Avenue Star City AR 71667-4210 | |
(870) 628-1347 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 1306 North Lincoln Avenue, Star City, Arkansas |
Authorized Official Name and Position | Shayla Robinson (CORPORATE COMPLIANCE OFFICER) |
Authorized Official Contact | 8705417395 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 2650 Pine Bluff AR 71613-2650 Ph: () - | 1306 North Lincoln Avenue Star City AR 71667-4210 Ph: (870) 628-1347 |
NPI Number | 1568123982 |
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Provider Enumeration Date | 01/07/2022 |
Last Update Date | 04/01/2022 |
Identifier | Type | State | Issuer |
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1568123982 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Kenneth A Heiles, D.o. Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 S Jefferson St, Star City, AR 71667 Phone: 870-628-5110 Fax: 870-628-5949 | |
Paul F Whipple,d.o.,p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 557 Kirkwood Rd, Star City, AR 71667 Phone: 870-628-5391 Fax: 870-629-5393 | |