Organization
PHYSICIAN GROUP OF ARKANSAS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN A DEMKE (CEO)
(615) 467-1072
Entity
Organization
Contact information
Practice address
2001 S MAIN ST, HOPE, AR 71801-8124
(870) 777-2323
(870) 722-7158
Mailing address
PO BOX 842109, DALLAS, TX 75284-2109
(866) 286-2802
(314) 432-9683
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196268002
—
AR
Enumeration date
07/18/2012
Last updated
03/02/2015
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