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Organization
ARKANSAS ALLERGY & ASTHMA CLINIC, P.A.
Active
Organization
ARKANSAS ALLERGY & ASTHMA CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PRINCE (ADMINISTRATOR)
(501) 329-0237
Entity
Organization
Contact information
Practice address
400 SALEM RD, SUITE 4, CONWAY, AR 72034-6162
(501) 329-0237
(501) 932-0565
Mailing address
400 SALEM RD, SUITE 4, CONWAY, AR 72034-6162
(501) 329-0237
(501) 932-0565
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
NULL
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Enumeration date
03/31/2006
Last updated
07/14/2008
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