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Organization

BAXTER REGIONAL ENTERPRISES, LLC

Active
Other names
Baxter Regional Cardiovascular Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
LUCINDA CROW (SYSTEM DATA ANALYST)
(870) 508-1081
Entity
Organization

Contact information

Practice address
555 W 6TH ST, MOUNTAIN HOME, AR 72653-3409
(870) 425-8288
Mailing address
555 W 6TH ST, MOUNTAIN HOME, AR 72653-3409

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
11/01/2021
Last updated
11/30/2021
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