Individual
MITCH ANTHONY CLAUSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2501 BRANDENBURG LN, NEWPORT, AR 72112-2660
(870) 523-8495
Mailing address
2501 BRANDENBURG LN, NEWPORT, AR 72112-2660
(870) 523-8495
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2850377001
—
AR
Enumeration date
04/19/2008
Last updated
04/19/2008
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