Organization
ROGER D SIMONS
Active
Other names
FLIPPIN FAMILY CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER D SIMONS M.D. (OWNER)
(870) 453-2274
Entity
Organization
Contact information
Practice address
111 E MAIN PLACE, SUITE 3, FLIPPIN, AR 72634
(870) 453-2274
Mailing address
PO BOX 550, FLIPPIN, AR 72634-0550
(870) 453-2274
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R4272
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121315002
—
AR
05
—
770011202
—
AR
Enumeration date
07/05/2007
Last updated
09/16/2008
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