| Medical Park Primary Care, Llc | |
|
650 United Dr Suite 130 Conway AR 72032-7826 | |
| (501) 504-6052 | |
| Not Available |
| Full Name | Medical Park Primary Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 650 United Dr, Conway, Arkansas |
| Authorized Official Name and Position | Smitha Thomas (MD) |
| Authorized Official Contact | 5015046052 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Park Primary Care, Llc 650 United Dr Suite 130 Conway AR 72032-7826 Ph: () - | Medical Park Primary Care, Llc 650 United Dr Suite 130 Conway AR 72032-7826 Ph: (501) 504-6052 |
| NPI Number | 1871024240 |
|---|---|
| Provider Enumeration Date | 03/27/2017 |
| Last Update Date | 03/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871024240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E-4689 (Arkansas) | Primary |
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