Individual
BLAYNE ELLIS BEENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
535 JORDAN DR, MONTICELLO, AR 71655-5714
(870) 367-6246
Mailing address
342 HIGHWAY 425 S, MONTICELLO, AR 71655-4612
(870) 942-3000
(870) 942-3005
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
27265
MS
207Q00000X
Family Medicine Physician
Primary
E-14603
AR
Other
Enumeration date
06/18/2018
Last updated
03/26/2026
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