Organization
PAUL F WHIPPLE,D.O.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL FREDERICK WHIPPLE D.O. (PHYSICIAN)
(870) 628-5391
Entity
Organization
Contact information
Practice address
557 KIRKWOOD RD, STAR CITY, AR 71667-8843
(870) 628-5391
(870) 629-5393
Mailing address
557 KIRKWOOD RD, STAR CITY, AR 71667-8843
(870) 628-5391
(870) 629-5393
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R-4516
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124036003
—
AR
Enumeration date
01/04/2010
Last updated
02/19/2020
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