Organization
BAXTER REGIONAL CENTER FOR INTEGRATIVE MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RON PETERSON (MANAGER)
(870) 508-1018
Entity
Organization
Contact information
Practice address
610 BROADMOOR DR, MOUNTAIN HOME, AR 72653-2903
(870) 508-7530
Mailing address
610 BROADMOOR DR, MOUNTAIN HOME, AR 72653-2903
(870) 508-7530
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E2090
AR
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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