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Organization
AMMC PHYSICIAN SERVICES, INC.
Active
Organization
AMMC PHYSICIAN SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD BLOEMER (CFO)
(870) 239-7102
Entity
Organization
Contact information
Practice address
1000 W KINGSHIGHWAY, PARAGOULD, AR 72450-4141
(870) 239-8592
Mailing address
900 W KINGSHIGHWAY, PARAGOULD, AR 72450-5942
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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