Organization
TALLAH MEDICAL AR PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARISSE TALLAH (OWNER)
(479) 785-2229
Entity
Organization
Contact information
Practice address
201 SW 14TH ST, BENTONVILLE, AR 72712-7449
(479) 785-2229
(479) 314-3185
Mailing address
PO BOX 776084, CHICAGO, IL 60677-6084
(479) 785-2229
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/25/2026
Last updated
03/25/2026
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