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2907 E Joyce Blvd Ste 6 Fayetteville AR 72703-5390 | |
(479) 442-9900 | |
(479) 442-9903 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 2907 E Joyce Blvd Ste 6, Fayetteville, Arkansas |
Authorized Official Name and Position | Peter J Vasquez (PRESIDENT) |
Authorized Official Contact | 8444077557 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | 2907 E Joyce Blvd Ste 6 Fayetteville AR 72703-5390 Ph: (479) 442-9900 |
NPI Number | 1174003685 |
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Provider Enumeration Date | 08/15/2018 |
Last Update Date | 04/29/2020 |
Identifier | Type | State | Issuer |
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1174003685 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
K E Management Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 E Augustine Ln Ste 7, Fayetteville, AR 72703 Phone: 479-200-9812 Fax: 866-243-7203 | |
Arcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1792 E Joyce Blvd, Fayetteville, AR 72703 Phone: 501-500-5001 Fax: 501-500-5001 | |