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Organization

THE PEDIATRIC CLINIC OF NLR, P.A.

Active
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Organization

THE PEDIATRIC CLINIC OF NLR, P.A.

Active
Parent organization
THE PEDIATRIC CLINIC OF NLR, P.A.
Other names
The Pediatric Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
THE PEDIATRIC CLINIC OF NLR, P.A.
Authorized official
TONYA SIMS RN (ADMINISTRATOR)
(501) 758-1530
Entity
Organization

Contact information

Practice address
203B PLAZA BLVD, CABOT, AR 72023-3749
(501) 843-0068
(501) 843-0696
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
08/05/2021
Last updated
08/05/2021
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