Organization
DREW PROFESSIONAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELODIE COLWELL (CFO)
(870) 460-3569
Entity
Organization
Contact information
Practice address
778 SCOGIN DR, MONTICELLO, AR 71655-5729
(870) 367-9700
(870) 460-0077
Mailing address
750 H L ROSS DR, MONTICELLO, AR 71655-5705
(870) 367-9700
(870) 460-0077
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167896002
—
AR
Enumeration date
08/29/2012
Last updated
09/20/2022
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