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Organization
THE PEDIATRIC CLINIC OF NLR, P.A.
Active
Organization
THE PEDIATRIC CLINIC OF NLR, P.A.
Active
Other names
The Pediatric Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA SIMS RN (ADMINISTRATOR)
(501) 758-1530
Entity
Organization
Contact information
Practice address
1525 COUNTRY CLUB RD, SHERWOOD, AR 72120-5076
(501) 758-1530
(501) 819-6171
Mailing address
1525 COUNTRY CLUB RD, SHERWOOD, AR 72120-5076
(501) 758-1530
(501) 819-6171
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/30/2006
Last updated
08/05/2021
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