Organization
UNIV OF ARK FOR MED SCIENCES DBA AHEC FAMILY PRACTICE CENTER INDEP LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN WYLIE (OFFICE MANAGER)
(870) 541-6008
Entity
Organization
Contact information
Practice address
4010 S MULBERRY ST, PINE BLUFF, AR 71603-7000
(870) 541-6008
(870) 541-6034
Mailing address
4010 S MULBERRY ST, PINE BLUFF, AR 71603-7000
(870) 541-6008
(870) 541-6034
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/17/2006
Last updated
08/22/2020
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