NPI Provider: 1336577238
Contact Name: QUALLS TOMMY
Position: OFFICE MANAGER
Phone: (479) 965-8888
Western Arkansas Primary Care Information:
Western Arkansas Primary Care organization have npi 1336577238, taxonomy code is 261QP2300X with license number is in . This Business address located in 2617 E MAIN ST, CHARLESTON, AR 72933 Arkansas.
Practice Location
Address: 2617 E MAIN ST, CHARLESTON, AR 72933
Phone: (479) 965-8888
Business Location
Address: 2617 E MAIN ST, CHARLESTON, AR 72933
Phone: (479) 965-8888
Fax: (479) 965-8889
Taxonomy
Taxonomy Code: 261QP2300X
License Number:
License Number of State:
Primary Taxonomy Switch: Y
Enumeration Date: 10/31/13
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