Organization
JOHNSON REGIONAL MEDICAL CENTER SPECIALTY PHYSICIANS
Active
Organization
JOHNSON REGIONAL MEDICAL CENTER SPECIALTY PHYSICIANS
Active
Parent organization
JOHNSON REGIONAL MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOHNSON REGIONAL MEDICAL CENTER
Authorized official
C EDWARD ANDERSON (CFO)
(479) 754-5454
Entity
Organization
Contact information
Practice address
1000 E POPLAR ST, CLARKSVILLE, AR 72830-4402
(479) 754-5454
Mailing address
PO BOX 738, CLARKSVILLE, AR 72830-0738
(479) 754-5454
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
E-3265
AR
Other
Enumeration date
10/04/2013
Last updated
10/04/2013
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