Organization
NORTH CENTRAL ARKANSAS MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDERIA PERRY (PROJECT MANAGER)
(501) 213-7313
Entity
Organization
Contact information
Practice address
614 NORTH TOWN, MOUNTAIN HOME, AR 72653-3105
(870) 425-3131
(870) 425-3136
Mailing address
614 NORTH TOWN, MOUNTAIN HOME, AR 72653-3105
(870) 425-3131
(870) 424-4472
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125193002
—
AR
Enumeration date
06/16/2006
Last updated
01/23/2025
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