Organization
RIVER VALLEY URGENT CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN P WEDDLE D.O. (PRESIDENT)
(479) 709-8686
Entity
Organization
Contact information
Practice address
3500 WE KNIGHT DRIVE, FORT SMITH, AR 72903-6248
(479) 709-6729
(479) 709-8687
Mailing address
3500 WE KNIGHT DR, FORT SMITH, AR 72903-6248
(479) 709-8686
(479) 709-8687
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200216130A
—
OK
Enumeration date
08/01/2008
Last updated
02/22/2010
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