Organization
BOONEVILLE FAMILY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNA FAYE YOUNG (CLINIC MANAGER)
(479) 675-2455
Entity
Organization
Contact information
Practice address
128 DANIEL AVE, BOONEVILLE, AR 72927-0110
(479) 675-2455
(479) 675-4940
Mailing address
PO BOX 110, 128 DANIEL AVE, BOONEVILLE, AR 72927-0110
(479) 675-2455
(479) 675-4940
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
AR
Other
Enumeration date
07/14/2005
Last updated
07/21/2022
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