# SOUTH LOGAN FAMILY PRACTICE

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

## Provider details

- **NPI number:** 1447461900
- **Authorized official:** MR. CLARENCE JAY ARENDALL M.D. (MEDICAL DOCTOR)
- **Authorized official phone:** (479) 675-2228

## Contact information

- **Practice address:** 1808 EAST MAIN, BOONEVILLE, AR 72927-1373
- **Practice address phone:** (479) 675-2228
- **Practice address fax:** (479) 675-2274
- **Mailing address:** PO BOX 1373, BOONEVILLE, AR 72927-0301
- **Mailing address phone:** (479) 675-2228
- **Mailing address fax:** (479) 675-2274

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | E3514 | AR | Yes |

## Other

- **Enumeration date:** 05/25/2007
- **Last updated:** 07/02/2008