Organization
PROSPECTIVE HEALTH LTD
Active
Other names
Family Practice Associates
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY E SALMON (ADMINISTRATOR)
(501) 303-7779
Entity
Organization
Contact information
Practice address
1304 MILITARY RD, BENTON, AR 72015
(501) 778-0934
(501) 778-8377
Mailing address
1304 MILITARY RD, BENTON, AR 72015
(501) 778-0934
(501) 778-8377
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110153002
—
AR
Enumeration date
03/08/2007
Last updated
09/03/2024
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