Organization
BAXTER REGIONAL HEALTH SYSTEM
Active
Other names
Baxter Regional APRN Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEONARD B LARRY (VICE PRESIDENT)
(870) 424-1000
Entity
Organization
Contact information
Practice address
803 W MAIN ST., MOUNTAIN VIEW, AR 72560
(870) 269-7414
Mailing address
PO BOX 1668, MOUNTAIN VIEW, AR 72560-1668
(870) 269-7414
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/20/2016
Last updated
03/21/2016
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