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Organization

BOARD CERTIFIED FAMILY PRACTICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LISA LYNN SMITH (OFFICE MANAGER)
(870) 763-7695
Entity
Organization

Contact information

Practice address
527 NORTH SIXTH STREET, BLYTHEVILLE, AR 72315-2790
(870) 763-4541
(870) 762-2390
Mailing address
527 NORHT SIXTH ST, BLYTHEVILLE, AR 72315-2790
(870) 763-4541
(870) 762-2390

Taxonomy

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

Other

Enumeration date
05/22/2007
Last updated
03/03/2014
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