Individual
MICHAEL ROBERT POULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
3214 E RACE AVE, SEARCY, AR 72143-4810
(501) 380-2290
(501) 380-2282
Mailing address
2900 HAWKINS DR, SEARCY, AR 72143-4802
(501) 278-2800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-12084
AR
390200000X
Student in an Organized Health Care Education/Training Program
AC201661D
ID
Other
Enumeration date
04/15/2017
Last updated
11/18/2020
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