# VILLAGE PARK MEDICAL CENTER

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

## Provider details

- **NPI number:** 1386696193
- **Authorized official:** DR. SHARRON J LESLIE M.D. (OWNER)
- **Authorized official phone:** (870) 741-7616

## Contact information

- **Practice address:** 724 N SPRING ST, HARRISON, AR 72601-2913
- **Practice address phone:** (870) 741-7616
- **Practice address fax:** (870) 741-7615
- **Mailing address:** PO BOX 907, HARRISON, AR 72602-0907
- **Mailing address phone:** (870) 741-7616
- **Mailing address fax:** (870) 741-7615

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 05/17/2006
- **Last updated:** 05/18/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 146202002 | — | AR |