Individual
BILL R MCCOURTNEY II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1210 DEQUEEN ST, MENA, AR 71953-4132
(479) 243-0303
(479) 243-0320
Mailing address
1210 DEQUEEN ST, MENA, AR 71953-4132
(479) 243-0303
(479) 243-0320
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E3174
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145539001
—
AR
01
—
5M011
BCBS
AR
Enumeration date
10/12/2005
Last updated
11/09/2007
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