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Organization

1ST AID STATION MEDICAL CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEANNA ROGERS FNP (OWNER)
(501) 733-2405
Entity
Organization

Contact information

Practice address
903A ASU BLVD, BEEBE, AR 72012-2117
(501) 232-9540
(501) 232-9517
Mailing address
PO BOX 998, BEEBE, AR 72012-0998
(501) 733-2402

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
06/23/2022
Last updated
06/03/2025
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