Organization
SOUTH LOGAN FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLARENCE JAY ARENDALL M.D. (MEDICAL DOCTOR)
(479) 675-2228
Entity
Organization
Contact information
Practice address
1808 EAST MAIN, BOONEVILLE, AR 72927-1373
(479) 675-2228
(479) 675-2274
Mailing address
PO BOX 1373, BOONEVILLE, AR 72927-0301
(479) 675-2228
(479) 675-2274
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E3514
AR
Other
Enumeration date
05/25/2007
Last updated
07/02/2008
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