Organization
SPARTA CORP
Active
Other names
Streamline Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY SAUL MD (OWNER)
(479) 280-3771
Entity
Organization
Contact information
Practice address
700 E PARKWAY DR, RUSSELLVILLE, AR 72801-4202
(479) 567-5770
(479) 567-5104
Mailing address
PO BOX 9178, RUSSELLVILLE, AR 72811-9178
(800) 824-4094
(479) 968-1673
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/24/2015
Last updated
04/11/2024
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