Organization
K E MANAGEMENT SERVICES
Active
Other names
River Valley Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK JOSEPH FUOCO (MEMBER)
(504) 495-6772
Entity
Organization
Contact information
Practice address
2719 BRYAN RD, VAN BUREN, AR 72956-5031
(479) 262-6069
(479) 262-6139
Mailing address
2719 BRYAN RD, VAN BUREN, AR 72956-5031
(479) 262-6069
(479) 262-6139
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/15/2018
Last updated
01/15/2018
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