| Professional Drivers Medical Depots | |
|
3902 Petro Road I-40, Exit 280 West Memphis AR 72301 | |
| (615) 661-8929 | |
| (615) 661-8977 |
| Full Name | Professional Drivers Medical Depots |
|---|---|
| Speciality | Clinic/center |
| Location | 3902 Petro Road, West Memphis, Arkansas |
| Authorized Official Name and Position | Colleen Adams (BILLING MANAGER) |
| Authorized Official Contact | 6156618929 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Drivers Medical Depots 3902 Petro Road West Memphis AR 72301 Ph: (615) 661-8929 | Professional Drivers Medical Depots 3902 Petro Road I-40, Exit 280 West Memphis AR 72301 Ph: (615) 661-8929 |
| NPI Number | 1205038585 |
|---|---|
| Provider Enumeration Date | 05/31/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205038585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Arkansas) | Primary |
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