Urban Medical Clinic | |
1 West Cherokee Village Mall #12 Cherokee Village AR 72529 | |
(870) 257-4110 | |
(870) 257-4112 |
Full Name | Urban Medical Clinic |
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Speciality | General Practice |
Location | 1 West Cherokee Village Mall #12, Cherokee Village, Arkansas |
Authorized Official Name and Position | Ross Douglas (BILLING MANAGER) |
Authorized Official Contact | 8704245079 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Urban Medical Clinic Po Box 310 Mountain Home AR 72654-0310 Ph: (870) 424-5079 | Urban Medical Clinic 1 West Cherokee Village Mall #12 Cherokee Village AR 72529 Ph: (870) 257-4110 |
NPI Number | 1295030815 |
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Provider Enumeration Date | 01/12/2011 |
Last Update Date | 04/19/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295030815 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | R3890 (Arkansas) | Primary |
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