Organization
GLENWOOD PEDIATRICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOREN DEPUTY MD (OWNER)
(870) 356-1556
Entity
Organization
Contact information
Practice address
408 N 1ST ST STE C, GLENWOOD, AR 71943-9252
(870) 356-2288
Mailing address
408 N 1ST ST STE C, GLENWOOD, AR 71943-9252
(870) 356-1556
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
04/21/2020
Last updated
10/14/2020
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