Organization
MOUNTAIN HOME PSYCHIATRIC MEDICINE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTE S WALDEN (OFFICE MANAGER)
(870) 424-4804
Entity
Organization
Contact information
Practice address
204 N COLLEGE ST, MOUNTAIN HOME, AR 72653-3654
(870) 424-4804
(870) 424-8651
Mailing address
PO BOX 387, MOUNTAIN HOME, AR 72654-0387
(870) 424-4804
(870) 424-8651
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
10/07/2008
Last updated
06/02/2023
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