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Organization
MEDICAL GROUP OF THE OZARKS LLC
Active
Organization
MEDICAL GROUP OF THE OZARKS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC EDWIN BORTON MD (OWNER)
(479) 202-3759
Entity
Organization
Contact information
Practice address
311 MORROW ST N, MENA, AR 71953-2516
(479) 394-6100
Mailing address
50 W CHAMPIONS BLVD, ROGERS, AR 72758-9567
(479) 202-3759
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
NULL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
04/22/2022
Last updated
04/22/2022
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