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Organization
ARKADELPHIA CLINIC FOR CHILDREN AND YOUNG ADULTS, PA
Active
Organization
ARKADELPHIA CLINIC FOR CHILDREN AND YOUNG ADULTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARI M RUCKER (DELEGATED OFFICIAL)
(870) 246-8036
Entity
Organization
Contact information
Practice address
2850 TWIN RIVERS DR, ARKADELPHIA, AR 71923-4212
(870) 246-8036
(870) 246-7164
Mailing address
2850 TWIN RIVERS DR, ARKADELPHIA, AR 71923-4212
(870) 246-8036
(870) 246-7164
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/24/2019
Last updated
10/24/2019
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