Gustavus Family Clinic

NPI 1467692103 - Family Medicine - 207Q00000X

NPI Details
NPI 1467692103
Enumeration Date 02/20/2009
Last Updated 03/13/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name JOHN L JOHN
Position OWNER
Phone (501) 833-0177
Fax (501) 833-0223
Practice Location
7418 N HILLS BLVD
NORTH LITTLE ROCK AR, 72116-4525, US
Phone (501) 833-0177
Fax (501) 833-0223
Business Location
7418 N HILLS BLVD
NORTH LITTLE ROCK AR, 72116-4525, US
Phone (501) 833-0177
Fax (501) 833-0223
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Gustavus Family Clinic NPI is 1467692103, taxonomy code is 207Q00000X Gustavus Family Clinic physically located at 7418 N Hills Blvd, North Little Rock AR, 72116-4525. NPI Number 1033115704 has the healthcare provider type.

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1467692103 NPI number is provided on an as is basis without warranty of any kind. 1467692103 is maintained by the National Plan & Provider Enumeration System. The contents of Gustavus Family Clinic are for informational purposes only.