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Organization
NOYDEEN MEDICAL GROUP- RUSSELLVILLE
Active
Organization
NOYDEEN MEDICAL GROUP- RUSSELLVILLE
Active
Parent organization
NOYDEEN SISTERS MEDICAL GROUP & CLINICS, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NOYDEEN SISTERS MEDICAL GROUP & CLINICS, INC
Authorized official
AHMED ALI MD (OWNER)
(501) 209-4040
Entity
Organization
Contact information
Practice address
1605 W MAIN ST, RUSSELLVILLE, AR 72801-2719
(479) 219-5008
(479) 219-5025
Mailing address
1605 W MAIN ST, RUSSELLVILLE, AR 72801-2719
(479) 219-5008
(479) 219-5025
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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