Organization
RIVER VALLEY MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK JOSEPH FUOCO (CONSULTANT)
(504) 495-6772
Entity
Organization
Contact information
Practice address
2719 BRYAN RD, VAN BUREN, AR 72956-5031
(918) 208-4868
Mailing address
2719 BRYAN RD, VAN BUREN, AR 72956-5031
(918) 208-4868
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-2230
AR
Other
Enumeration date
04/17/2017
Last updated
04/17/2017
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