Organization
VILLAGE PARK MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHARRON J LESLIE M.D. (OWNER)
(870) 741-7616
Entity
Organization
Contact information
Practice address
724 N SPRING ST, HARRISON, AR 72601-2913
(870) 741-7616
(870) 741-7615
Mailing address
PO BOX 907, HARRISON, AR 72602-0907
(870) 741-7616
(870) 741-7615
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146202002
—
AR
Enumeration date
05/17/2006
Last updated
05/18/2011
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