Organization
EAGLE HEIGHTS CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARQUETTE T WALKER (OFFICE ADMINISTRATOR)
(870) 741-8559
Entity
Organization
Contact information
Practice address
306 N CHESTNUT ST, HARRISON, AR 72601-4453
(870) 741-8559
(870) 741-8423
Mailing address
PO BOX 1497, HARRISON, AR 72602-1497
(870) 741-8559
(870) 741-8423
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57265
BCBS
AR
Enumeration date
01/30/2006
Last updated
08/22/2020
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