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Organization
BAXTER REGIONAL CENTER FOR INTEGRATIVE MEDICINE, LLC
Active
Organization
BAXTER REGIONAL CENTER FOR INTEGRATIVE MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RON PETERSON (MANAGER)
(870) 508-1018
Entity
Organization
Contact information
Practice address
610 BROADMOOR DR, MOUNTAIN HOME, AR 72653-2903
(870) 508-7530
Mailing address
610 BROADMOOR DR, MOUNTAIN HOME, AR 72653-2903
(870) 508-7530
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E2090
AR
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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