| Tucker Family Medicine Of Arkansas, Inc | |
|
2905 S Walton Blvd Ste. 17 Bentonville AR 72712-6730 | |
| (870) 405-8579 | |
| Not Available |
| Full Name | Tucker Family Medicine Of Arkansas, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2905 S Walton Blvd, Bentonville, Arkansas |
| Authorized Official Name and Position | Donald L Tucker (BUSINESS MANAGER) |
| Authorized Official Contact | 8704058579 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tucker Family Medicine Of Arkansas, Inc 103 Somerset Bentonville AR 72712-4091 Ph: (479) 270-8970 | Tucker Family Medicine Of Arkansas, Inc 2905 S Walton Blvd Ste. 17 Bentonville AR 72712-6730 Ph: (870) 405-8579 |
| NPI Number | 1063508299 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 11/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063508299 | NPI | - | NPPES |
| 158496002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Arkansas) | Primary |
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