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Organization
ADULT MEDICINE CLINIC OF BLYTHEVILLE, P.C.
Active
Organization
ADULT MEDICINE CLINIC OF BLYTHEVILLE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHALENDER MITTAL M.D. (PRESIDENT)
(870) 762-5800
Entity
Organization
Contact information
Practice address
519 N 6TH ST, BLYTHEVILLE, AR 72315-2407
(870) 762-5800
(870) 762-5801
Mailing address
PO BOX 405, BLYTHEVILLE, AR 72316-0405
(870) 762-5800
(870) 762-5801
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E2710
AR
Other
Enumeration date
05/06/2006
Last updated
04/11/2022
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