| Sam Scroggins Md Pa | |
|
1002 N Spring St Harrison AR 72601 | |
| (870) 741-6373 | |
| (870) 741-5102 |
| Full Name | Sam Scroggins Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1002 N Spring St, Harrison, Arkansas |
| Authorized Official Name and Position | Cathy I Scrogggins (OFFICE MANAGER) |
| Authorized Official Contact | 8707416373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sam Scroggins Md Pa 1002 N Spring St Harrison AR 72601 Ph: (870) 741-6373 | Sam Scroggins Md Pa 1002 N Spring St Harrison AR 72601 Ph: (870) 741-6373 |
| NPI Number | 1275628596 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 06/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275628596 | NPI | - | NPPES |
| 110143007 | Medicaid | AR | |
| 13888000000 | Other | AR | QUALCHOICE |
| 5B000 | Other | AR | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C4664 (Arkansas) | Primary |
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