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1649879750
PRIME MEDICAL GROUP PLLC
BENTON, AR
NPI
1649879750
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Entity Type
Organization
Authorized Contact
RAY KOHLER PARKER
Physician
501-227-8422
Organization Subpart ?
Yes
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2020-10-20
Last Update Date
2020-10-20
Business Address
PRIME MEDICAL GROUP PLLC
5 MEDICAL PARK DR STE 200
BENTON, AR 72015-3732
Phone number: 501-776-3800
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Mailing Address
PRIME MEDICAL GROUP PLLC
9601 BAPTIST HEALTH DR STE 690
LITTLE ROCK, AR 72205-6328
Phone number: 501-227-8422
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