Organization
JOHN PATTON BLACK,MD
Active
Organization
JOHN PATTON BLACK,MD
Active
Other names
DBA MOUNTAIN HOME EMERGENCY GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN PATTON BLACK MD (OWNER)
(870) 424-7070
Entity
Organization
Contact information
Practice address
624 HOSPITAL DR, MOUNTAIN HOME, AR 72653-2955
(870) 424-7070
(870) 424-6616
Mailing address
PO BOX 2443, MOUNTAIN HOME, AR 72654-2443
(870) 424-7070
(870) 424-6616
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
C67844
AR
Other
Enumeration date
06/09/2006
Last updated
12/17/2007
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