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Organization
BAXTER REGIONAL HEALTH SYSTEM
Active
Organization
BAXTER REGIONAL HEALTH SYSTEM
Active
Other names
BRMC Hometown Clinic at Mammoth Spring
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD BERNARD LARRY (VICE PRESIDENT)
(870) 508-1011
Entity
Organization
Contact information
Practice address
277 MAIN STREET, MAMMOTH SPRING, AR 72554
(870) 269-3455
Mailing address
PO BOX 1288, MOUNTAIN VIEW, AR 72560-1288
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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