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Organization

ARKANSAS PRIMARY CARE CLINICS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEREK LEWIS M.D. (PRESIDENT)
(501) 663-5221
Entity
Organization

Contact information

Practice address
6209 W 12TH ST, LITTLE ROCK, AR 72204-1505
(501) 663-5221
(501) 663-6759
Mailing address
6209 W 12TH ST, LITTLE ROCK, AR 72204-1505
(501) 663-5221
(501) 663-6759

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
116778002
AR
Enumeration date
04/12/2006
Last updated
02/25/2011
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