Organization
WYNNE PHYSICIANS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN LIEBLONG (PRESIDENT)
(870) 932-7024
Entity
Organization
Contact information
Practice address
710 FALLS BLVD S, WYNNE, AR 72396-3514
(870) 238-2321
(870) 238-0114
Mailing address
PO BOX 1331, JONESBORO, AR 72403-1331
(870) 932-7024
(870) 930-9377
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/20/2020
Last updated
01/20/2020
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