Organization
BAXTER COUNTY REGIONAL HOSPITAL INC
Active
Other names
Baxter Regional Gastroenterology Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA HENRY (CFO)
(870) 508-1003
Entity
Organization
Contact information
Practice address
228 BUCHER DR, MOUNTAIN HOME, AR 72653-3400
(870) 425-4416
(870) 425-8615
Mailing address
PO BOX 958539, SAINT LOUIS, MO 63195-8539
(508) 475-0450
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
11/10/2016
Last updated
10/10/2019
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