# WILLOW STREET HEALTH CENTER, LTD

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

## Provider details

- **NPI number:** 1376529834
- **Authorized official:** DR. GEOFFREY LAWRENCE DUNAWAY M.D. (PRESIDENT)
- **Authorized official phone:** (870) 741-3252

## Contact information

- **Practice address:** 406 N WILLOW ST, HARRISON, AR 72601-3517
- **Practice address phone:** (870) 741-3252
- **Practice address fax:** (870) 741-3962
- **Mailing address:** 406 N WILLOW ST, HARRISON, AR 72601-3517
- **Mailing address phone:** (870) 741-3252
- **Mailing address fax:** (870) 741-3962

## Taxonomy

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

## Other

- **Enumeration date:** 12/16/2005
- **Last updated:** 09/05/2007