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Organization

STORM-PETREL INPATIENT SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHY KONDAS (OFFICER)
(954) 838-2371
Entity
Organization

Contact information

Practice address
311 MORROW ST N, MENA, AR 71953-2516
(479) 394-6100
Mailing address
13737 NOEL RD, STE 1600, DALLAS, TX 75240-1331
(469) 613-8343

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
AR

Other

Enumeration date
07/21/2014
Last updated
09/11/2020
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