Organization
TERKEURST UROLOGY CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARLA L GREGORY (INSURANCE/BILLING MANAGER)
(870) 424-3699
Entity
Organization
Contact information
Practice address
124 HIGHWAY 201 N, MOUNTAIN HOME, AR 72653-3158
(870) 424-3699
(870) 424-3707
Mailing address
PO BOX 428, MOUNTAIN HOME, AR 72654-0428
(870) 424-3699
(870) 424-3707
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117148002
—
AR
Enumeration date
01/05/2007
Last updated
09/07/2011
Update your record
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