FAIR PARK MEDICAL CLINIC

LITTLE ROCK, AR
NPI1740481191
Entity TypeOrganization
Authorized ContactCARL LYNN JOHNSON
Owner
501-663-6262
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: AR  MC2208)
Enumeration Date2007-05-31
Last Update Date2020-08-22
Business Address
FAIR PARK MEDICAL CLINIC
5320 W 12TH ST
LITTLE ROCK, AR 72204-1859
Phone number: 501-663-6262
Mailing Address
FAIR PARK MEDICAL CLINIC
5320 W. 12TH STREET
LITTLE ROCK, AR 72206
Phone number: 501-663-6262
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