Falwell Family Medicine, Pa

NPI 1740593771 - Family Medicine - 207Q00000X

NPI Details
NPI 1740593771
Enumeration Date 07/19/2010
Last Updated 10/19/2011
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name KEVIN WADE KEVIN
Position OWNER
Phone (870) 307-0264
Fax (870) 307-0382
Practice Location
2201 HARRISON ST
BATESVILLE AR, 72501-7418, US
Phone (870) 307-0264
Fax (870) 307-0382
Business Location
2201 HARRISON ST
BATESVILLE AR, 72501-7418, US
Phone (870) 307-0264
Fax (870) 307-0382
Toxanomy
Taxonomy Code 207Q00000X
License State Arkansas
License Number E4642
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According to our database, Falwell Family Medicine, Pa NPI is 1740593771, taxonomy code is 207Q00000X and license number is E4642, license state is located at Arkansas. Falwell Family Medicine, Pa physically located at 2201 Harrison St, Batesville AR, 72501-7418. NPI Number 1033115704 has the healthcare provider type.

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1740593771 NPI number is provided on an as is basis without warranty of any kind. 1740593771 is maintained by the National Plan & Provider Enumeration System. The contents of Falwell Family Medicine, Pa are for informational purposes only.