Organization
JOHNSON REGIONAL MEDICAL CENTER
Active
Other names
Clarksville Women's Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY MORSE (ADMINISTRATOR)
(479) 754-2060
Entity
Organization
Contact information
Practice address
1100 E POPLAR ST, CLARKSVILLE, AR 72830-4419
(479) 754-5337
(479) 754-5348
Mailing address
PO BOX 1836, CLARKSVILLE, AR 72830-1836
(479) 754-5337
(479) 754-5348
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5F191
ARK BLUE CROSS
AR
Enumeration date
03/27/2006
Last updated
08/22/2020
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