# CHARLES W. HIMMLER, D.O.,P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Himmler Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225140585
- **Authorized official:** CHARLES W. HIMMLER D.O. (OWNER)
- **Authorized official phone:** (501) 796-8484

## Contact information

- **Practice address:** 1159 MAIN ST, VILONIA, AR 72173-9525
- **Practice address phone:** (501) 796-8484
- **Practice address fax:** (501) 796-2453
- **Mailing address:** 1159 MAIN ST, P.O. BOX 359, VILONIA, AR 72173-9525
- **Mailing address phone:** (501) 796-8484
- **Mailing address fax:** (501) 796-2453

## Taxonomy

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

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 06/25/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 080017971 | RR MEDICARE | — |