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Organization
PREFERRED MEDICAL ASSOCIATES LLC
Active
Organization
PREFERRED MEDICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM R WOZNIAK DO (OWNER)
(870) 492-9000
Entity
Organization
Contact information
Practice address
40 PLAZA WAY, SUITE 30, MOUNTAIN HOME, AR 72653-9265
(870) 492-9000
(870) 492-9003
Mailing address
PO BOX 2368, MOUNTAIN HOME, AR 72654-2368
(870) 492-9000
(870) 492-9003
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180515002
—
AR
01
—
5G193
ARK BCBS
—
Enumeration date
10/29/2009
Last updated
09/01/2010
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