Organization
MINA MICHAEL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINA MICHAEL KAMEL MICHAEL MD (OWNER OF ENTITY)
(346) 907-4805
Entity
Organization
Contact information
Practice address
1355 DAVE WARD DR STE 102, CONWAY, AR 72034-7082
(346) 907-4805
Mailing address
PO BOX 242198, LITTLE ROCK, AR 72223-0021
(346) 907-4805
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/16/2023
Last updated
05/06/2024
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