# ACCESS MEDICAL CLINIC ARKANSAS LLC

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

## Provider details

- **NPI number:** 1124657713
- **Authorized official:** BRADLEY RAY BIBB (CEO)
- **Authorized official phone:** (870) 994-7301

## Contact information

- **Practice address:** 106 HIGHWAY 62 W, SALEM, AR 72576-8059
- **Practice address phone:** (870) 895-2015
- **Practice address fax:** (870) 895-2164
- **Mailing address:** 4196 HIGHWAY 62 412 STE A, HARDY, AR 72542-8002
- **Mailing address fax:** (870) 856-2107

## Taxonomy

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

## Other

- **Enumeration date:** 04/06/2020
- **Last updated:** 04/06/2020