Organization
START, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DIFFINE MD (AUTHORIZED OFFICIAL)
(870) 824-2809
Entity
Organization
Contact information
Practice address
111 DOVER RD, WEST MEMPHIS, AR 72301-2605
(870) 394-5946
(870) 215-0191
Mailing address
160 GREENE 721 RD STE 4, PARAGOULD, AR 72450-8995
(870) 637-0319
(870) 215-0191
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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