Organization
NORTH PULASKI DIAGNOSTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUTH HICKMAN (OFFICE MANAGER)
(501) 833-8400
Entity
Organization
Contact information
Practice address
2215 WILDWOOD AVE, SUITE 201, SHERWOOD, AR 72120-5089
(501) 833-8400
(501) 833-0266
Mailing address
2215 WILDWOOD AVE, SUITE 201, SHERWOOD, AR 72120-5089
(501) 833-8400
(501) 833-0266
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/16/2005
Last updated
08/22/2020
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