Tucker Family Medicine Of Arkansas, Inc

NPI 1063508299 - Family Medicine - 207Q00000X

NPI Details
NPI 1063508299
Enumeration Date 10/05/2006
Last Updated 11/16/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DONALD L DONALD
Position BUSINESS MANAGER
Phone (870) 405-8579
Fax
Practice Location
2905 S WALTON BLVD
STE. 17
BENTONVILLE AR, 72712-6730, US
Phone (870) 405-8579
Fax
Business Location
103 SOMERSET
BENTONVILLE AR, 72712-4091, US
Phone (479) 270-8970
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Tucker Family Medicine Of Arkansas, Inc NPI is 1063508299, taxonomy code is 207Q00000X Tucker Family Medicine Of Arkansas, Inc physically located at 2905 S Walton Blvd, Bentonville AR, 72712-6730. NPI Number 1033115704 has the healthcare provider type.

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1063508299 NPI number is provided on an as is basis without warranty of any kind. 1063508299 is maintained by the National Plan & Provider Enumeration System. The contents of Tucker Family Medicine Of Arkansas, Inc are for informational purposes only.