# OUACHITA PHYSICIAN SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Clinic of Ouachita County
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467095463
- **Authorized official:** PEGGY L ABBOTT (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (870) 836-1200

## Contact information

- **Practice address:** 415 HOSPITAL DR STE 4, CAMDEN, AR 71701-4651
- **Practice address phone:** (870) 837-2530
- **Practice address fax:** (870) 836-1358
- **Mailing address:** PO BOX 9178, RUSSELLVILLE, AR 72811-9178
- **Mailing address phone:** (855) 498-6766
- **Mailing address fax:** (479) 968-1673

## Taxonomy

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

## Other

- **Enumeration date:** 10/22/2019
- **Last updated:** 10/22/2019