Organization
URBAN MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSS DOUGLAS (BILLING MANAGER)
(870) 424-5079
Entity
Organization
Contact information
Practice address
1 WEST CHEROKEE VILLAGE MALL #12, CHEROKEE VILLAGE, AR 72529
(870) 257-4110
(870) 257-4112
Mailing address
PO BOX 310, MOUNTAIN HOME, AR 72654-0310
(870) 424-5079
(870) 424-8455
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
R3890
AR
Other
Enumeration date
01/12/2011
Last updated
04/19/2011
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