Organization
MODERN MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LONNIE JOSEPH PARKER MD (SOLE MEMBER)
(870) 826-7500
Entity
Organization
Contact information
Practice address
350 E MILLSAP RD, FAYETTEVILLE, AR 72703-4098
(479) 439-8020
(479) 439-8022
Mailing address
350 E MILLSAP RD, FAYETTEVILLE, AR 72703-4098
(479) 439-8020
(479) 439-8022
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
E1887
AR
Other
Enumeration date
03/13/2013
Last updated
03/13/2013
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