Organization
GERIATRIC MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID P BROWN M.D. (PRESIDENT)
(479) 394-3718
Entity
Organization
Contact information
Practice address
1302 HIGHWAY 71 N, MENA, AR 71953-8417
(479) 394-3718
(479) 394-7571
Mailing address
1302 HIGHWAY 71 N, MENA, AR 71953-8417
(479) 394-3718
(479) 394-7571
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132462002
—
AR
Enumeration date
07/27/2006
Last updated
03/10/2009
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