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Organization

CROSSROADS MEDICAL CLINIC OF HARRISON

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT M CAUSEY MD (DIRECTOR)
(870) 741-3600
Entity
Organization

Contact information

Practice address
1420 HWY 62 65 N, HARRISON, AR 72601-1959
(870) 741-3600
(870) 741-6800
Mailing address
PO BOX 9178, RUSSELLVILLE, AR 72811-9178
(479) 968-4273
(479) 968-4331

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician
207VX0000X
Obstetrics Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
160850002
AR
Enumeration date
05/15/2006
Last updated
06/15/2010
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