Waldron Place Pediatric Clinic, Inc | |
1501 S Waldron Rd Ste 202 Fort Smith AR 72903-2598 | |
(479) 452-8311 | |
(479) 452-5032 |
Full Name | Waldron Place Pediatric Clinic, Inc |
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Speciality | Clinic/center |
Location | 1501 S Waldron Rd Ste 202, Fort Smith, Arkansas |
Authorized Official Name and Position | Federico Carlos De Miranda (OWNER) |
Authorized Official Contact | 4794528311 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Waldron Place Pediatric Clinic, Inc 1501 S Waldron Rd Ste 202 Fort Smith AR 72903-2598 Ph: (479) 452-8311 | Waldron Place Pediatric Clinic, Inc 1501 S Waldron Rd Ste 202 Fort Smith AR 72903-2598 Ph: (479) 452-8311 |
NPI Number | 1013047356 |
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Provider Enumeration Date | 03/06/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1013047356 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | C-5393 (Arkansas) | Primary |
Healthmax Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12300 Highway 71 S, Suite A, Fort Smith, AR 72916 Phone: 479-755-6595 Fax: 479-755-6596 | |
Remedy Health Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 S Waldron Rd Ste 100, Fort Smith, AR 72903 Phone: 479-888-8305 Fax: 918-395-9149 | |