Organization
THE FAMILY DOCTOR OF BERRYVILLE, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON KEVIN RICHTER M.D. (OWNER/MEMBER)
(870) 423-2320
Entity
Organization
Contact information
Practice address
206 S MAIN ST, BERRYVILLE, AR 72616-3929
(870) 423-2320
(866) 901-0589
Mailing address
206 S MAIN ST, BERRYVILLE, AR 72616-3929
(870) 423-2320
(866) 901-0589
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E0607
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128865001
—
AR
Enumeration date
07/20/2007
Last updated
04/09/2010
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