Oldenberg Inc

NPI 1215239702 - Family Medicine - 207Q00000X

NPI Details
NPI 1215239702
Enumeration Date 12/03/2010
Last Updated 12/03/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name DENISE DENISE
Position PRESIDENT
Phone (870) 257-4110
Fax (870) 257-4112
Practice Location
1 WEST CHEROKEE VILLAGE MALL
CHEROKEE VILLAGE AR, 72529, US
Phone (870) 257-4110
Fax (870) 257-4112
Business Location
PO BOX 249
SALEM AR, 72576, US
Phone (870) 257-4110
Fax (870) 257-4112
Toxanomy
Taxonomy Code 207Q00000X
License State Arkansas
License Number R3890
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According to our database, Oldenberg Inc NPI is 1215239702, taxonomy code is 207Q00000X and license number is R3890, license state is located at Arkansas. Oldenberg Inc physically located at 1 West Cherokee Village Mall, Cherokee Village AR, 72529. NPI Number 1033115704 has the healthcare provider type.

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1215239702 NPI number is provided on an as is basis without warranty of any kind. 1215239702 is maintained by the National Plan & Provider Enumeration System. The contents of Oldenberg Inc are for informational purposes only.