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Organization

MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BENNY J STOVER (VICE PRESIDENT-FINANCE)
(479) 338-2230
Entity
Organization

Contact information

Practice address
207 CARTER ST, BERRYVILLE, AR 72616-4303
(870) 423-6661
(870) 423-3713
Mailing address
207 CARTER ST, BERRYVILLE, AR 72616-4303
(870) 423-6661
(870) 423-3713

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary

Other

Enumeration date
06/23/2011
Last updated
04/03/2018
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