Organization
SHEIRON FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA SHEIRON DO (PRESIDENT/OWNER)
(870) 367-3246
Entity
Organization
Contact information
Practice address
733 ROBERTS DR, MONTICELLO, AR 71655-5724
(870) 367-3246
(870) 367-3271
Mailing address
733 ROBERTS DR, MONTICELLO, AR 71655-5724
(870) 367-3246
(870) 367-3271
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5L064
BCBS RENDERING ID NUMBER
AR
01
—
MC2167
ARK STATE LICENSE
AR
Enumeration date
02/04/2008
Last updated
03/07/2023
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