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Organization
CROSSETT HEALTH FOUNDATION
Active
Organization
CROSSETT HEALTH FOUNDATION
Active
Other names
ASHLEY SPECIATLY CLINICS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANNON CLARK (CFO)
(870) 364-4111
Entity
Organization
Contact information
Practice address
1015 UNITY RD, CROSSETT, AR 71635-9443
(870) 364-1291
(870) 364-1479
Mailing address
1015 UNITY RD, CROSSETT, AR 71635-9443
(870) 364-1291
(870) 364-1479
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
C8506
AR
207Y00000X
Otolaryngology Physician
—
—
207YP0228X
Pediatric Otolaryngology Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
08/16/2005
Last updated
10/01/2007
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