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Organization

DIVINE MERCY HEALTH CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LEE WILBUR MD (OWNER/CEO/PHYSICIAN)
(317) 409-3019
Entity
Organization

Contact information

Practice address
6221 COLONEL GLENN RD, LITTLE ROCK, AR 72204-7731
(501) 223-2776
(501) 223-2779
Mailing address
6221 COLONEL GLENN RD, LITTLE ROCK, AR 72204-7731
(501) 223-2776
(501) 223-2779

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
09/24/2024
Last updated
09/24/2024
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