# SPIRIT MED, INCORPORATED

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

## Provider details

- **NPI number:** 1073689485
- **Authorized official:** DR. GEORGE H TOMPKINS DO (DO)
- **Authorized official phone:** (479) 474-7771

## Contact information

- **Practice address:** 400 FAYETTEVILLE ST, VAN BUREN, AR 72956-3502
- **Practice address phone:** (479) 474-7771
- **Practice address fax:** (479) 474-3552
- **Mailing address:** 400 FAYETTVILLE ROAD, VAN BUREN, AR 72956
- **Mailing address phone:** (479) 474-7771
- **Mailing address fax:** (479) 474-3552

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | E0883 | AR | Yes |

## Other

- **Enumeration date:** 11/28/2006
- **Last updated:** 05/07/2009