Individual
AL MEDRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2410 HIGHWAY 65 N, MC GEHEE, AR 71654-9437
(870) 222-3107
(870) 222-6741
Mailing address
790 ROBERTS DR, MONTICELLO, AR 71655-5723
(870) 367-2461
(870) 460-6133
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/21/2008
Last updated
06/11/2013
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