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Organization

APP OF ARKANSAS ED PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHARLES SOMERBY (VICE PRESIDENT)
(615) 928-6264
Entity
Organization

Contact information

Practice address
1801 MARTIN LUTHER KING JR DR, HELENA, AR 72342-8998
(870) 338-5800
(904) 559-4370
Mailing address
PO BOX 4458 DEPT 159, HOUSTON, TX 77210-4458
(870) 338-5800
(904) 559-4370

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
208M00000X
Hospitalist Physician
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
09/26/2016
Last updated
07/21/2022
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