Organization
PARAGOULD PEDIATRICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTINA MICHELE WENGER MD (MEMBER)
(870) 236-7337
Entity
Organization
Contact information
Practice address
4000 LINWOOD DR, SUITE H, PARAGOULD, AR 72450-7223
(870) 236-7337
(870) 236-7332
Mailing address
4000 LINWOOD DR, SUITE H, PARAGOULD, AR 72450-7223
(870) 236-7337
(870) 236-7332
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165537002
—
AR
01
—
5F839
BLUE CROSS
—
Enumeration date
08/20/2007
Last updated
09/03/2015
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