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Organization
BOARD OF GOVERNORS OF DALLAS COUNTY MEDICAL CENTER
Active
Organization
BOARD OF GOVERNORS OF DALLAS COUNTY MEDICAL CENTER
Active
Other names
Dallas County Medical Center ER Physicians Group
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA K RIEVES (ADMINISTRATOR / CEO)
(870) 352-6363
Entity
Organization
Contact information
Practice address
201 NORTH CLIFTON STREET, FORDYCE, AR 71742
(870) 352-6363
(870) 352-6343
Mailing address
201 NORTH CLIFTON STREET, FORDYCE, AR 71742
(870) 352-6363
(870) 352-6343
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
AR4114
AR
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
—
NULL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
—
—
Other
Enumeration date
10/10/2006
Last updated
08/12/2016
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