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111 S Main St Leachville AR 72438-9097 | |
(870) 539-1115 | |
(870) 539-1125 |
Full Name | |
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Speciality | Family Medicine |
Location | 111 S Main St, Leachville, Arkansas |
Authorized Official Name and Position | John Lieblong (VP PHYSICIAN SERVICES) |
Authorized Official Contact | 8709327024 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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800 S. Main P.o. Box 1331 Jonesboro AR 72403-1331 Ph: (870) 932-7024 | 111 S Main St Leachville AR 72438-9097 Ph: (870) 539-1115 |
NPI Number | 1871970202 |
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Provider Enumeration Date | 05/06/2015 |
Last Update Date | 11/21/2019 |
Identifier | Type | State | Issuer |
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1871970202 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |