# SHEIRON FAMILY PRACTICE

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

## Provider details

- **NPI number:** 1255519153
- **Authorized official:** MRS. SANDRA SHEIRON DO (PRESIDENT/OWNER)
- **Authorized official phone:** (870) 367-3246

## Contact information

- **Practice address:** 733 ROBERTS DR, MONTICELLO, AR 71655-5724
- **Practice address phone:** (870) 367-3246
- **Practice address fax:** (870) 367-3271
- **Mailing address:** 733 ROBERTS DR, MONTICELLO, AR 71655-5724
- **Mailing address phone:** (870) 367-3246
- **Mailing address fax:** (870) 367-3271

## Taxonomy

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

## Other

- **Enumeration date:** 02/04/2008
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5L064 | BCBS RENDERING ID NUMBER | AR |
| 01 | — | MC2167 | ARK STATE LICENSE | AR |