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Organization
UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
Active
Organization
UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
Active
Other names
Justiss Lindsey Clinic AHEC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN WYLIE (OFFICE MANAGER)
(870) 541-6008
Entity
Organization
Contact information
Practice address
1222 W 42ND ST, PINE BLUFF, AR 71603
(870) 535-1819
(870) 534-3340
Mailing address
4010 MULBERRY ST, PINE BLUFF, AR 71603
(870) 541-6008
(870) 541-6034
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/25/2006
Last updated
08/22/2020
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