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Organization
ROGERS FAMILY AND OCCUPATIONAL MEDICINE CLINIC
Active
Organization
ROGERS FAMILY AND OCCUPATIONAL MEDICINE CLINIC
Active
Other names
Rogers Occupational Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY WAYNE YAWN MD (PRESIDENT)
(479) 621-9749
Entity
Organization
Contact information
Practice address
1615B WEST PERSIMMON, ROGERS, AR 72756
(479) 636-7192
(479) 621-9749
Mailing address
1615B WEST PERSIMMON, ROGERS, AR 72756
(479) 636-7192
(479) 621-9749
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5B378
BLUE CROSS BLUE SHIELD
AR
Enumeration date
02/08/2006
Last updated
08/22/2020
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