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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