# THE FAMILY DOCTOR OF BERRYVILLE, PLC

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

## Provider details

- **NPI number:** 1477753143
- **Authorized official:** DR. JON KEVIN RICHTER M.D. (OWNER/MEMBER)
- **Authorized official phone:** (870) 423-2320

## Contact information

- **Practice address:** 206 S MAIN ST, BERRYVILLE, AR 72616-3929
- **Practice address phone:** (870) 423-2320
- **Practice address fax:** (866) 901-0589
- **Mailing address:** 206 S MAIN ST, BERRYVILLE, AR 72616-3929
- **Mailing address phone:** (870) 423-2320
- **Mailing address fax:** (866) 901-0589

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | E0607 | AR | Yes |

## Other

- **Enumeration date:** 07/20/2007
- **Last updated:** 04/09/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 128865001 | — | AR |