# MAIN STREET ENDOCRINOLOGY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Main Street Medical Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962012070
- **Authorized official:** DR. MELANIE KRISTIN SUTTON APN (NURSE PRACTITIONER/PARTNER)
- **Authorized official phone:** (417) 825-7920

## Contact information

- **Practice address:** 165 SOUTH MAIN STREET, CAVE SPRINGS, AR 72718
- **Practice address phone:** (417) 825-7920
- **Mailing address:** 10360 WINDY TRL, BENTONVILLE, AR 72712-7380
- **Mailing address phone:** (417) 825-7920

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/04/2020
- **Last updated:** 08/04/2020