Organization
WASHINGTON REGIONAL MEDICAL SYSTEM
Active
Other names
Advantage Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM L BRADLEY (CEO)
(479) 463-6300
Entity
Organization
Contact information
Practice address
507 W MONROE AVE, SUITE A, LOWELL, AR 72745-8909
(479) 463-8150
Mailing address
507 W MONROE AVE, SUITE A, LOWELL, AR 72745-8909
(479) 463-8150
(479) 463-8151
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/30/2014
Last updated
01/06/2015
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