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Organization
CRITTENDEN HOSPITAL ASSOCIATION
Active
Organization
CRITTENDEN HOSPITAL ASSOCIATION
Active
Other names
Crittenden Regional Women's Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM BRADFORD MCCORMICK (CFO)
(870) 735-1500
Entity
Organization
Contact information
Practice address
228 TYLER, SUITE 304, WEST MEMPHIS, AR 72301-4257
(870) 733-5437
(870) 733-5440
Mailing address
228 TYLER, SUITE 304, WEST MEMPHIS, AR 72301-4257
(870) 733-5437
(870) 733-5440
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
E7815
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154327002
—
AR
Enumeration date
02/25/2013
Last updated
11/21/2013
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