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Organization
ADVANCED AESTHETICS & WELLNESS CENTER PA, EARLMD FAMILY MEDICINE PA
Active
Organization
ADVANCED AESTHETICS & WELLNESS CENTER PA, EARLMD FAMILY MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN SAM EARL M.D. (OWNER)
(479) 273-1426
Entity
Organization
Contact information
Practice address
909 SE 28TH ST, SUITE 9, BENTONVILLE, AR 72712-3880
(479) 273-1426
(479) 271-6805
Mailing address
PO BOX 1638, LOWELL, AR 72745-1638
(479) 876-6077
(479) 271-6805
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/28/2009
Last updated
02/19/2019
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