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82 W Sunbridge Fayetteville AR 72703 | |
(479) 575-9000 | |
(479) 251-8188 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 82 W Sunbridge, Fayetteville, Arkansas |
Authorized Official Name and Position | Mary Jo Rothrock (DIRECTOR CLINIC ADMINISTRATION) |
Authorized Official Contact | 4794631390 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 879 Fayetteville AR 72702-0879 Ph: (479) 713-7115 | 82 W Sunbridge Fayetteville AR 72703 Ph: (479) 575-9000 |
NPI Number | 1881650497 |
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Provider Enumeration Date | 04/22/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1881650497 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | 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 | |