# MARY WREN OB/GYN, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922258417
- **Authorized official:** MARY R WREN M.D. (PRESIDENT/PHYSICIAN)
- **Authorized official phone:** (870) 425-7300

## Contact information

- **Practice address:** 628 HOSPITAL DR STE 3-E, MOUNTAIN HOME, AR 72653-2937
- **Practice address phone:** (870) 425-7300
- **Practice address fax:** (870) 425-7855
- **Mailing address:** 628 HOSPITAL DR STE 2A, MOUNTAIN HOME, AR 72653-2937
- **Mailing address phone:** (870) 425-7300
- **Mailing address fax:** (870) 425-7855

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | C7991 | AR | Yes |

## Other

- **Enumeration date:** 09/22/2008
- **Last updated:** 09/22/2008