Organization
DIFFINE FAMILY PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A DIFFINE M.D, (PRESIDENT)
(870) 824-2809
Entity
Organization
Contact information
Practice address
1100 MEDICAL PLAZA DRIVE SOUTH, SUITE C, BLYTHEVILLE, AR 72315
(870) 824-2809
(870) 762-0731
Mailing address
PO BOX 9178, RUSSELLVILLE, AR 72811-9178
(800) 824-4094
(479) 968-1673
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-3767
AR
Other
Enumeration date
01/19/2011
Last updated
02/07/2024
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