Organization
DEMENT INTERNAL MEDICINE CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM T. DEMENT MD (MD)
(870) 236-8855
Entity
Organization
Contact information
Practice address
1000 W KINGSHIGHWAY STE 7, PARAGOULD, AR 72450-4197
(870) 236-8855
(870) 236-8895
Mailing address
1000 W KINGSHIGHWAY STE 7, PARAGOULD, AR 72450-4197
(870) 236-8855
(870) 236-8895
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
E4148
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5N015
ARKANSAS BCBS
AR
Enumeration date
04/18/2007
Last updated
08/22/2020
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