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408 N 8th St Ste A Rogers AR 72756-3740 | |
| (479) 340-0588 | |
| (479) 340-0589 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 408 N 8th St Ste A, Rogers, Arkansas |
| Authorized Official Name and Position | Catherine Moore Womack (PRESIDENT) |
| Authorized Official Contact | 6154686248 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5500 Maryland Way Ste 400 Brentwood TN 37027-7048 Ph: () - | 408 N 8th St Ste A Rogers AR 72756-3740 Ph: (479) 340-0588 |
| NPI Number | 1558841239 |
|---|---|
| Provider Enumeration Date | 08/21/2018 |
| Last Update Date | 08/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558841239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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