Organization
WESTERN ARKANSAS PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOMMY QUALLS (OFFICE MANAGER)
(479) 965-8888
Entity
Organization
Contact information
Practice address
2617 E MAIN ST, CHARLESTON, AR 72933-9637
(479) 965-8888
(479) 965-8889
Mailing address
2617 E MAIN ST, CHARLESTON, AR 72933-9637
(479) 965-8888
(479) 965-8889
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/31/2013
Last updated
10/31/2013
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