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Organization

MEMORY MEDICAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GARY LINKER MD (PSYCHIATRIST)
(479) 420-7476
Entity
Organization

Contact information

Practice address
129 N VAUGHN RD, FAYETTEVILLE, AR 72701-0524
(479) 530-1771
Mailing address
129 N VAUGHN RD, FAYETTEVILLE, AR 72701-0524
(479) 530-1771

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
E-1863
AR

Other

Enumeration date
07/23/2007
Last updated
07/23/2007
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