Organization
OZARK CENTER FOR LIFESTYLE MEDICINE, INC.
Active
Other names
Ozark Center for Lifestyle Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYNTHIA LOUISE MORGAN MD, MPH (FOUNDER AND EXECUTIVE DIRECTOR)
(479) 325-4859
Entity
Organization
Contact information
Practice address
2894 N MCKEE CIR STE 120, FAYETTEVILLE, AR 72703-3498
(870) 505-4619
Mailing address
164 NC 9203, PETTIGREW, AR 72752
(870) 505-4619
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
11/12/2020
Last updated
12/19/2020
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