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Individual

DR. JOHN S TERKEURST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
124 HIGHWAY 201 N, MOUNTAIN HOME, AR 72653-3158
(870) 424-3699
(870) 424-3707
Mailing address
124 HIGHWAY 201 N, MOUNTAIN HOME, AR 72653-3158
(870) 424-3699
(870) 424-3707

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C6476
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01557
HEALTH SOURCE
AR
01
0479320001
PALMETTO GBA
AR
01
04D0703845
CLIA #
AR
05
115716001
AR
05
117148002
AR
01
16020000000
QUALCHOICE AR #
AR
01
340002978
RAILROAD MCR
AR
01
642613
FOCUS
AR
01
710687928
TX ID #
AR
01
C6476
AR LICENSE
AR
Enumeration date
05/23/2005
Last updated
03/07/2023
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