# HARTON MEDICAL CLINIC PLLC PA

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

## Provider details

- **NPI number:** 1013917780
- **Authorized official:** TIMOTHY S HARTON MD (OWNER)
- **Authorized official phone:** (870) 226-6580

## Contact information

- **Practice address:** 614 N MARTIN ST, WARREN, AR 71671-1904
- **Practice address phone:** (870) 226-6580
- **Practice address fax:** (870) 226-6554
- **Mailing address:** 400 E 10TH ST, WACONIA, MN 55387-4552
- **Mailing address phone:** (952) 442-9770
- **Mailing address fax:** (952) 442-3620

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | E3166 | AR | Yes |

## Other

- **Enumeration date:** 07/26/2005
- **Last updated:** 04/29/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 150670002 | — | AR |
| 01 | — | 5C908 | BLUE CROSS OF AR | AR |