Organization
DEMENT INTERNAL MEDICINE CLINIC, P.A.
Active
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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