Organization
MONTICELLO MEDICAL CLINIC PLC
Active
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
Update your record
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