Organization
WALK IN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT RUPP (CEO)
(479) 394-6100
Entity
Organization
Contact information
Practice address
1102 CRESTWOOD CIR, MENA, AR 71953-5513
(479) 394-7301
(479) 394-7160
Mailing address
PO BOX 1325, MENA, AR 71953-1325
(479) 394-1414
(870) 289-6993
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184597002
—
AR
Enumeration date
06/17/2010
Last updated
06/10/2022
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