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Organization
UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCE SOUTH
Active
Organization
UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCE SOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDILBERTO DIZON ATIENZA JR. M.D. (FAMILY MEDICINE RESIDENT)
(240) 462-7236
Entity
Organization
Contact information
Practice address
1617 N WASHINGTON, MAGNOLIA, AR 71753-2046
(240) 462-7236
Mailing address
1725 ALLERFORD DR, HANOVER, MD 21076-1798
(240) 462-7236
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
—
—
Other
Enumeration date
04/13/2015
Last updated
04/13/2015
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