Organization
CRITTENDEN HOSPITAL ASSOCIATION
Active
Other names
Crittenden Regional Women's Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM BRADFORD MCCORMICK (CFO)
(870) 735-1500
Entity
Organization
Contact information
Practice address
228 TYLER, SUITE 304, WEST MEMPHIS, AR 72301-4257
(870) 733-5437
(870) 733-5440
Mailing address
228 TYLER, SUITE 304, WEST MEMPHIS, AR 72301-4257
(870) 733-5437
(870) 733-5440
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
E7815
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154327002
—
AR
Enumeration date
02/25/2013
Last updated
11/21/2013
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