Organization
PHOMAKAY PRIMARY CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANSAMONE M PHOMAKAY MD (OWNER)
(479) 782-5500
Entity
Organization
Contact information
Practice address
10301 MAYO DR, BARLING, AR 72923-1660
(479) 782-5500
(479) 782-5502
Mailing address
PO BOX 10154, FORT SMITH, AR 72917-0154
(479) 782-5500
(479) 782-5502
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-6214
AR
Other
Enumeration date
06/05/2013
Last updated
11/27/2013
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