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Organization

MOUNTAIN VIEW FAMILY PRACTICE PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CONNIE R HANEY (OFFICE MANAGER)
(870) 269-4144
Entity
Organization

Contact information

Practice address
19797 HWY 5, MOUNTAIN VIEW, AR 72560-1096
(870) 269-4144
(870) 269-5723
Mailing address
PO BOX 1096, 19797 HWY 5, MOUNTAIN VIEW, AR 72560-1096
(870) 269-4144
(870) 269-5723

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
157236002
AR
Enumeration date
02/23/2006
Last updated
10/05/2011
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