Organization
CONDREY PEDIATRIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL VAUGHN (PRACTICE MANAGER)
(870) 425-6272
Entity
Organization
Contact information
Practice address
4 MEDICAL PLZ, MOUNTAIN HOME, AR 72653-2919
(870) 425-6272
(870) 424-3320
Mailing address
4 MEDICAL PLZ, MOUNTAIN HOME, AR 72653-2919
(870) 425-6272
(870) 424-3320
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
06/02/2009
Last updated
06/02/2009
Update your record
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