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Organization
CHARLES W. HIMMLER, D.O.,P.A.
Active
Organization
CHARLES W. HIMMLER, D.O.,P.A.
Active
Other names
Himmler Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES W. HIMMLER D.O. (OWNER)
(501) 796-8484
Entity
Organization
Contact information
Practice address
1159 MAIN ST, VILONIA, AR 72173-9525
(501) 796-8484
(501) 796-2453
Mailing address
1159 MAIN ST, P.O. BOX 359, VILONIA, AR 72173-9525
(501) 796-8484
(501) 796-2453
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080017971
RR MEDICARE
—
Enumeration date
08/31/2006
Last updated
06/25/2008
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