# OLDENBERG INC

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

## Provider details

- **NPI number:** 1215239702
- **Authorized official:** DENISE OLDENBERG M.D. (PRESIDENT)
- **Authorized official phone:** (870) 257-4110

## Contact information

- **Practice address:** 1 WEST CHEROKEE VILLAGE MALL, CHEROKEE VILLAGE, AR 72529
- **Practice address phone:** (870) 257-4110
- **Practice address fax:** (870) 257-4112
- **Mailing address:** PO BOX 249, SALEM, AR 72576
- **Mailing address phone:** (870) 257-4110
- **Mailing address fax:** (870) 257-4112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | R3890 | AR | Yes |

## Other

- **Enumeration date:** 12/03/2010
- **Last updated:** 12/03/2010