MED79

PINE BLUFF, AR
NPI1356117626
Entity TypeOrganization
Authorized ContactCHRISTOPHER KEITH MCDANIEL
CEO
501-804-5628
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2023-11-28
Last Update Date2023-11-28
Business Address
MED79
2304 W 29TH AVE
PINE BLUFF, AR 71603-5005
Phone number: 501-804-5628
Mailing Address
MED79
3805 WINTERS PL
PINE BLUFF, AR 71603-6413
Phone number: 501-804-5628
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