Organization
PEDIATRIC ASSOCIATES OF W MPHS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA WAMBLE (OFFICE MANAGER)
(870) 732-1191
Entity
Organization
Contact information
Practice address
132 BLOCK ST, MARION, AR 72364-1956
(870) 739-1190
Mailing address
108 W TYLER AVE, WEST MEMPHIS, AR 72301-4221
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
08/08/2008
Last updated
08/13/2008
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