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202 Newsome Dr Marked Tree AR 72365-2021 | |
(870) 358-4355 | |
(870) 358-4357 |
Full Name | |
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Speciality | Family Medicine |
Location | 202 Newsome Dr, Marked Tree, Arkansas |
Authorized Official Name and Position | Kimitaka Saito (OWNER PHYSICIAN) |
Authorized Official Contact | 8703584355 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 616 Marked Tree AR 72365-0616 Ph: (870) 358-4355 | 202 Newsome Dr Marked Tree AR 72365-2021 Ph: (870) 358-4355 |
NPI Number | 1700905296 |
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Provider Enumeration Date | 03/28/2007 |
Last Update Date | 07/02/2009 |
Identifier | Type | State | Issuer |
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1700905296 | NPI | - | NPPES |
142472002 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | R2736 (Arkansas) | Primary |