| Sophia Meyer Family Medicine Llc | |
|
620 Broadway St Van Buren AR 72956-5830 | |
| (479) 474-5061 | |
| (479) 922-2007 |
| Full Name | Sophia Meyer Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 620 Broadway St, Van Buren, Arkansas |
| Authorized Official Name and Position | Rebecca R Floyd (PHYSICIAN/OWNER) |
| Authorized Official Contact | 4794745061 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sophia Meyer Family Medicine Llc 620 Broadway St Van Buren AR 72956-5830 Ph: (479) 474-5061 | Sophia Meyer Family Medicine Llc 620 Broadway St Van Buren AR 72956-5830 Ph: (479) 474-5061 |
| NPI Number | 1083834378 |
|---|---|
| Provider Enumeration Date | 04/27/2007 |
| Last Update Date | 08/09/2012 |
| Medicare PECOS PAC ID | 9537317219 |
|---|---|
| Medicare Enrollment ID | O20120921000528 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083834378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Arkansas) | Primary |
| Provider Name | Rebecca R Floyd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790773521 PECOS PAC ID: 2365410685 Enrollment ID: I20040923000480 |
| Provider Name | Stephanie E Frisbie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043208879 PECOS PAC ID: 4789652009 Enrollment ID: I20040923000501 |
| Provider Name | Tracy L Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023270790 PECOS PAC ID: 2769557750 Enrollment ID: I20080827000100 |
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