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Organization
POINTER TRAIL FAMILY CLINIC PLLC
Active
Organization
POINTER TRAIL FAMILY CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLYN M DILLARD D.O. (OWNER PHYSICIAN)
(479) 922-2222
Entity
Organization
Contact information
Practice address
109 W POINTER TRAIL, VAN BUREN, AR 72956-5321
(479) 922-2222
(479) 922-2227
Mailing address
109 W POINTER TRAIL, VAN BUREN, AR 72956-5321
(479) 922-2222
(479) 922-2227
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MC2545
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5F756
GROUP MEDICARE NUMBER
AR
Enumeration date
04/02/2007
Last updated
10/13/2014
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