Organization
HARTON MEDICAL CLINIC PLLC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY S HARTON MD (OWNER)
(870) 226-6580
Entity
Organization
Contact information
Practice address
614 N MARTIN ST, WARREN, AR 71671-1904
(870) 226-6580
(870) 226-6554
Mailing address
400 E 10TH ST, WACONIA, MN 55387-4552
(952) 442-9770
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E3166
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150670002
—
AR
01
—
5C908
BLUE CROSS OF AR
AR
Enumeration date
07/26/2005
Last updated
04/29/2008
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