Organization
STUTTGART MEDICAL CLINIC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LURA WILSON (ADMINISTRATOR)
(870) 674-6783
Entity
Organization
Contact information
Practice address
1609 N MEDICAL DR, STUTTGART, AR 72160-3274
(870) 673-7211
(870) 672-6823
Mailing address
PO BOX 1901, STUTTGART, AR 72160-1901
(870) 673-3511
(870) 672-6823
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100907002
—
AR
Enumeration date
07/24/2007
Last updated
03/24/2009
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