Organization
CHARLES W. HIMMLER, D.O.,P.A.
Active
Other names
Himmler Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES W. HIMMLER D.O. (OWNER)
(501) 796-8484
Entity
Organization
Contact information
Practice address
1159 MAIN ST, VILONIA, AR 72173-9525
(501) 796-8484
(501) 796-2453
Mailing address
1159 MAIN ST, P.O. BOX 359, VILONIA, AR 72173-9525
(501) 796-8484
(501) 796-2453
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080017971
RR MEDICARE
—
Enumeration date
08/31/2006
Last updated
06/25/2008
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