Optimum Aging & Integrated Medicine | |
2641 Rogers Ave Fort Smith AR 72901-4145 | |
(479) 784-0011 | |
(479) 784-0012 |
Full Name | Optimum Aging & Integrated Medicine |
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Speciality | Family Medicine |
Location | 2641 Rogers Ave, Fort Smith, Arkansas |
Authorized Official Name and Position | Terry L Hoyt (OWNER) |
Authorized Official Contact | 4797840011 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Optimum Aging & Integrated Medicine Po Box 7132 Van Buren AR 72956-0124 Ph: (479) 784-0011 | Optimum Aging & Integrated Medicine 2641 Rogers Ave Fort Smith AR 72901-4145 Ph: (479) 784-0011 |
NPI Number | 1508103029 |
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Provider Enumeration Date | 01/04/2013 |
Last Update Date | 05/14/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508103029 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | E-2638 (Arkansas) | Primary |
207Q00000X | Family Medicine | 2789 (Oklahoma) | Secondary |
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Waldron Place Pediatric Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 S Waldron Rd Ste 202, Fort Smith, AR 72903 Phone: 479-452-8311 Fax: 479-452-5032 | |
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