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Organization
BOWLIN-CUMMINS PA
Active
Organization
BOWLIN-CUMMINS PA
Active
Other names
Banister-Lieblong Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LANDER A SMITH MD (CHIEF FINANCIAL OFFICER)
(501) 329-3824
Entity
Organization
Contact information
Practice address
2425 DAVE WARD DR, STE 401, CONWAY, AR 72034
(501) 329-3824
(501) 327-2957
Mailing address
2425 DAVE WARD DR, STE 401, CONWAY, AR 72034
(501) 329-3824
(501) 327-2957
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/10/2006
Last updated
01/06/2015
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