# CORNERSTONE MEDICAL CLINIC PLLC

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

## Provider details

- **NPI number:** 1043522212
- **Authorized official:** DR. STEVE SHRUM M.D. (OWNER)
- **Authorized official phone:** (870) 743-4900

## Contact information

- **Practice address:** 825 N MAIN ST, SUITE A, HARRISON, AR 72601-2914
- **Practice address phone:** (870) 743-4900
- **Practice address fax:** (870) 743-4949
- **Mailing address:** 825 N MAIN ST, SUITE A, HARRISON, AR 72601-2914
- **Mailing address phone:** (870) 743-4900
- **Mailing address fax:** (870) 743-4949

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MC-2227 | AR | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | MC-2227 | AR | — |
| 208000000X | Pediatrics Physician | MC-2227 | AR | — |
| 363LF0000X | Family Nurse Practitioner | MC-2227 | AR | — |
| 363LP0200X | Pediatric Nurse Practitioner | MC-2227 | AR | — |

## Other

- **Enumeration date:** 07/05/2010
- **Last updated:** 07/05/2010