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Organization

ARKANSAS PREMIER MEDICAL CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANNA KATHERINE ROAS APN (APN/PART OWNER)
(501) 303-8289
Entity
Organization

Contact information

Practice address
22461 I 30 STE 402, BRYANT, AR 72022-2383
(501) 303-8289
Mailing address
8524 HART RD, BENTON, AR 72019-7186

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
363LF0000X
Family Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1235655531
NPI
AR
01
1326282799
NPI
AR
Enumeration date
10/16/2020
Last updated
10/16/2020
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