Arkansas Phs Pa

NPI 1194956516 - Family Medicine - 207Q00000X

NPI Details
NPI 1194956516
Enumeration Date 08/03/2009
Last Updated 07/02/2014
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name NICOLE NICOLE
Position CFO
Phone (901) 261-4848
Fax (901) 261-4849
Practice Location
609 SW 8TH STREET
SUITE 600
BENTONVILLE AR, 72712-8913, US
Phone (901) 261-4848
Fax (901) 261-4849
Business Location
1509 DULLES DRIVE
LAFAYETTE LA, 70506, US
Phone (337) 991-9276
Fax (337) 991-9288
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
Remove 1194956516 NPI Number
 

According to our database, Arkansas Phs Pa NPI is 1194956516, taxonomy code is 207Q00000X Arkansas Phs Pa physically located at 609 Sw 8th Street, Bentonville AR, 72712-8913. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1194956516 NPI number is provided on an as is basis without warranty of any kind. 1194956516 is maintained by the National Plan & Provider Enumeration System. The contents of Arkansas Phs Pa are for informational purposes only.