# DERMOTT FAMILY PRACTICE, INC.

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

## Provider details

- **NPI number:** 1992979181
- **Authorized official:** DR. CAROLYN E. VOGLER MEDICAL DOCTOR (PRESIDENT)
- **Authorized official phone:** (870) 538-3800

## Contact information

- **Practice address:** 105 N FREEMAN ST, DERMOTT, AR 71638-2304
- **Practice address phone:** (870) 538-3800
- **Mailing address:** PO BOX 227, DERMOTT, AR 71638-0227
- **Mailing address phone:** (870) 538-3800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | E-3872 | AR | Yes |

## Other

- **Enumeration date:** 04/17/2008
- **Last updated:** 04/17/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 154472001 | — | AR |
