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Individual

CAROLYN M DILLARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
109 POINTER TRL W, VAN BUREN, AR 72956-2236
(479) 922-2222
(479) 922-2227
Mailing address
109 POINTER TRL W, VAN BUREN, AR 72956-2236
(479) 922-2222
(479) 922-2227

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E2427
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
139925003
AR
Enumeration date
05/24/2006
Last updated
09/04/2008
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