# WHARTON CLINIC, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003862251
- **Authorized official:** DR. JOE H WHARTON MD (OWNER)
- **Authorized official phone:** (870) 226-6786

## Contact information

- **Practice address:** 1012 E CHURCH ST, SUITE C, WARREN, AR 71671-3509
- **Practice address phone:** (870) 226-6786
- **Practice address fax:** (870) 226-5638
- **Mailing address:** PO BOX 850, WARREN, AR 71671-0850
- **Mailing address phone:** (870) 226-6786
- **Mailing address fax:** (870) 226-5638

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | C6689 | AR | Yes |

## Other

- **Enumeration date:** 05/26/2006
- **Last updated:** 04/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1279200000 | QUALCHOICE | AR |