Organization
POCAHONTAS MEDICAL CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT E HOLT MD (PHYSICIAN OWNER)
(870) 892-4467
Entity
Organization
Contact information
Practice address
2901 MEDICAL CENTER DR, POCAHONTAS, AR 72455-9438
(870) 892-4467
(870) 892-4407
Mailing address
2901 MEDICAL CENTER DR, POCAHONTAS, AR 72455-9438
(870) 892-4467
(870) 892-4407
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139208002
—
AR
05
—
160097729
—
AR
Enumeration date
10/14/2005
Last updated
06/18/2010
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