Organization
OLDENBERG INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE OLDENBERG M.D. (PRESIDENT)
(870) 257-4110
Entity
Organization
Contact information
Practice address
1 WEST CHEROKEE VILLAGE MALL, CHEROKEE VILLAGE, AR 72529
(870) 257-4110
(870) 257-4112
Mailing address
PO BOX 249, SALEM, AR 72576
(870) 257-4110
(870) 257-4112
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R3890
AR
Other
Enumeration date
12/03/2010
Last updated
12/03/2010
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