| NPI | 1740481191 |
|---|---|
| Doing Business As | FAIR PARK MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | CARL LYNN JOHNSON Owner 501-663-6262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AR MC2208) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2020-08-22 |