| Lansdell Family Clinic Pllc | |
|
1124 Main Ave Dierks AR 71833-9421 | |
| (870) 286-2128 | |
| (870) 286-2148 |
| Full Name | Lansdell Family Clinic Pllc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1124 Main Ave, Dierks, Arkansas |
| Authorized Official Name and Position | Michael Wayne Lansdell (CLINIC ADMINSTRATOR) |
| Authorized Official Contact | 8705841055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lansdell Family Clinic Pllc 500 E Collin Raye Dr Ste 2 De Queen AR 71832-8068 Ph: (870) 584-1053 | Lansdell Family Clinic Pllc 1124 Main Ave Dierks AR 71833-9421 Ph: (870) 286-2128 |
| NPI Number | 1962015859 |
|---|---|
| Provider Enumeration Date | 08/28/2020 |
| Last Update Date | 09/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962015859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Access Medical Clinic Arkansas Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 704 Main Ave, Dierks, AR 71833 Phone: 870-455-1172 Fax: 870-895-2164 |