Organization
MEDICAL PARK PRIMARY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SMITHA THOMAS MD (MD)
(501) 504-6052
Entity
Organization
Contact information
Practice address
650 UNITED DR, SUITE 130, CONWAY, AR 72032-7826
(501) 504-6052
Mailing address
650 UNITED DR, SUITE 130, CONWAY, AR 72032-7826
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-4689
AR
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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