Organization
BRADLEY BIBB MD PLLC
Active
Other names
Access Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MONYA YORK (CONTROLLER)
(870) 856-1202
Entity
Organization
Contact information
Practice address
49 HIGHWAY 62 412, ASH FLAT, AR 72513-9594
(870) 994-7301
Mailing address
49 HIGHWAY 62 412, ASH FLAT, AR 72513-9594
(870) 994-7301
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
E-4136
AR
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204415002
—
AR
Enumeration date
02/21/2010
Last updated
11/07/2024
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