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Organization

MONTICELLO MEDICAL CLINIC PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SYLVIA SIMON MD (PARTNER)
(870) 367-6867
Entity
Organization

Contact information

Practice address
906 ROBERTS DR, MONTICELLO, AR 71655-5724
(870) 367-6867
(870) 367-1461
Mailing address
906 ROBERTS DR, MONTICELLO, AR 71655-5724
(870) 367-6867
(870) 367-1461

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
261Q00000X
Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
139812002
AR
01
77067202
BREASTCARE
AR
Enumeration date
01/17/2006
Last updated
04/01/2020
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