Organization
HEATHER LIENHART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA WHIFFEN (ACCOUNTANT)
(479) 967-2322
Entity
Organization
Contact information
Practice address
908 N REYNOLDS RD, BRYANT, AR 72022-3034
(479) 967-2322
Mailing address
PO BOX 2109, RUSSELLVILLE, AR 72811-2109
(479) 967-2322
(479) 967-2876
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
OTR2323
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179442721
—
AR
Enumeration date
12/20/2013
Last updated
11/09/2019
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