# DIFFINE FAMILY PRACTICE PLLC

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

## Provider details

- **NPI number:** 1962707158
- **Authorized official:** DAVID A DIFFINE M.D, (PRESIDENT)
- **Authorized official phone:** (870) 824-2809

## Contact information

- **Practice address:** 1100 MEDICAL PLAZA DRIVE SOUTH, SUITE C, BLYTHEVILLE, AR 72315
- **Practice address phone:** (870) 824-2809
- **Practice address fax:** (870) 762-0731
- **Mailing address:** PO BOX 9178, RUSSELLVILLE, AR 72811-9178
- **Mailing address phone:** (800) 824-4094
- **Mailing address fax:** (479) 968-1673

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | E-3767 | AR | Yes |

## Other

- **Enumeration date:** 01/19/2011
- **Last updated:** 02/07/2024