# OZARK MEDICAL CONSULTANTS PLLC

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

## Provider details

- **NPI number:** 1295281392
- **Authorized official:** DENISE GROSSE (ADMINISTRATOR)
- **Authorized official phone:** (479) 527-9966

## Contact information

- **Practice address:** 2630 E CITIZENS DR, SUITE 3, FAYETTEVILLE, AR 72703-4797
- **Practice address phone:** (479) 527-9966
- **Practice address fax:** (479) 527-9677
- **Mailing address:** 2630 E CITIZENS DR, SUITE 3, FAYETTEVILLE, AR 72703-4797
- **Mailing address phone:** (479) 527-9966
- **Mailing address fax:** (479) 527-9677

## Taxonomy

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

## Other

- **Enumeration date:** 08/29/2016
- **Last updated:** 08/29/2016