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1548474240
MICHAEL WALLACE COLGROVE
FORT SMITH, AR
NPI
1548474240
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: AR E8309)
Enumeration Date
2007-05-10
Last Update Date
2024-07-16
Business Address
Dr. MICHAEL WALLACE COLGROVE M.D.
1500 DODSON AVE STE 230
FORT SMITH, AR 72901-5179
Phone number: 479-709-7490
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Mailing Address
Dr. MICHAEL WALLACE COLGROVE M.D.
11001 EXECUTIVE CENTER DR STE 200
LITTLE ROCK, AR 72211-4393
Phone number: 479-709-7490
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