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Organization

SILVER BIRCH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHRISTOPHER STEPHEN BARANYK D.O. (PHYSICIAN)
(571) 232-6354
Entity
Organization

Contact information

Practice address
4052 E VAN BUREN STE A, EUREKA SPRINGS, AR 72632-9328
(571) 232-6354
Mailing address
4052 E VAN BUREN STE A, EUREKA SPRINGS, AR 72632-9328
(571) 232-6354

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
211181003
AR
Enumeration date
06/25/2020
Last updated
06/25/2020
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