# POINTER TRAIL FAMILY CLINIC PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578684148
- **Authorized official:** DR. CAROLYN M DILLARD D.O. (OWNER PHYSICIAN)
- **Authorized official phone:** (479) 922-2222

## Contact information

- **Practice address:** 109 W POINTER TRAIL, VAN BUREN, AR 72956-5321
- **Practice address phone:** (479) 922-2222
- **Practice address fax:** (479) 922-2227
- **Mailing address:** 109 W POINTER TRAIL, VAN BUREN, AR 72956-5321
- **Mailing address phone:** (479) 922-2222
- **Mailing address fax:** (479) 922-2227

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MC2545 | AR | Yes |

## Other

- **Enumeration date:** 04/02/2007
- **Last updated:** 10/13/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5F756 | GROUP MEDICARE NUMBER | AR |