Organization
BURCHFIELD FAMILY MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIARY ODEN (OFFICE MANAGER)
(870) 236-6911
Entity
Organization
Contact information
Practice address
630 W COURT ST, PARAGOULD, AR 72450-4247
(870) 236-6911
(870) 236-8129
Mailing address
630 W COURT ST, PARAGOULD, AR 72450-4247
(870) 236-6911
(870) 236-8129
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E1234
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131636001
—
AR
Enumeration date
06/07/2006
Last updated
07/22/2013
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