PAUL VAN DEVENTER MD APMC

COVINGTON, LA
NPI1104337559
Doing Business AsPINNACLE ORTHOPAEDICS
Entity TypeOrganization
Authorized ContactMACKENZIE HAHN
Ncpdp Coordinator
479-636-9702
Organization Subpart ?No
Primary Taxonomy332900000X Non-Pharmacy Dispensing Site
(Licence: LA  MD.025612)
Enumeration Date2017-10-12
Last Update Date2017-11-16
Business Address
PAUL VAN DEVENTER MD APMC
1200 PINNACLE PKWY STE 3
COVINGTON, LA 70433-9169
Phone number: 479-636-9702
Mailing Address
PAUL VAN DEVENTER MD APMC
PO BOX 3328
BENTONVILLE, AR 72712
Phone number: 479-636-9702
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