Organization
FAMILY MEDICINE ASSOCIATES OF PINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY E FRAZIER (MANAGER)
(870) 541-9373
Entity
Organization
Contact information
Practice address
1801 W 40TH AVE, SUITE 6A, PINE BLUFF, AR 71603-6900
(870) 541-9373
(870) 541-0109
Mailing address
1801 W 40TH AVE, SUITE 6A, PINE BLUFF, AR 71603-6900
(870) 541-9373
(870) 541-0109
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/10/2006
Last updated
12/08/2010
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