Organization
PHYSICIAN'S MANAGEMENT GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT FARRELL MD (CEO)
(501) 663-4204
Entity
Organization
Contact information
Practice address
2520 W MAIN ST, JACKSONVILLE, AR 72076-4214
(501) 982-0528
(501) 985-7777
Mailing address
501 N ELM ST, LITTLE ROCK, AR 72205-3927
(501) 663-4204
(501) 663-4233
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
C5129
AR
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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