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3538 N Highway 112 Ste 2 Fayetteville AR 72704-6093 | |
(479) 443-9699 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 3538 N Highway 112 Ste 2, Fayetteville, Arkansas |
Authorized Official Name and Position | Alexis Racheotes (OWNER) |
Authorized Official Contact | 4794439699 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3538 N Highway 112 Ste 2 Fayetteville AR 72704-6093 Ph: (479) 443-9699 | 3538 N Highway 112 Ste 2 Fayetteville AR 72704-6093 Ph: (479) 443-9699 |
NPI Number | 1952691362 |
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Provider Enumeration Date | 04/19/2011 |
Last Update Date | 04/19/2011 |
Identifier | Type | State | Issuer |
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1952691362 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 1633 (Arkansas) | 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 | |