Individual
JUSTIN LEE SCANTLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
880 W MAIN ST, BOONEVILLE, AR 72927-3443
(479) 675-2800
(479) 675-1373
Mailing address
880 W MAIN ST, BOONEVILLE, AR 72927-3443
(479) 675-2800
(479) 675-1373
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
224587
AR
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
224587
AR
363LG0600X
Gerontology Nurse Practitioner
Primary
224587
AR
Other
Enumeration date
05/31/2023
Last updated
07/27/2023
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