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Organization

CHARLES VERMONT, M.D., PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES VERMONT M.D. (CEO)
(870) 887-2669
Entity
Organization

Contact information

Practice address
1480 WEST FIRST NORTH, PRESCOTT, AR 71857
(870) 887-2669
(870) 887-5373
Mailing address
1480 WEST FIRST NORTH, PRESCOTT, AR 71857
(870) 887-2669
(870) 887-5373

Taxonomy

Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
C7159
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
11757002
AR
Enumeration date
04/18/2007
Last updated
06/17/2010
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