Organization
CRITTENDEN HOSPITAL ASSOCIATION
Active
Other names
Mid-South Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL PRINCE (CLINICS ADMINISTRATOR)
(870) 735-1500
Entity
Organization
Contact information
Practice address
2921 HWY 77, SUITE 20, MARION, AR 72364-2367
(870) 739-5311
(870) 739-5542
Mailing address
2921 HWY 77, SUITE 20, MARION, AR 72364-2367
(870) 739-5311
(870) 739-5542
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133764002
—
AR
Enumeration date
04/27/2006
Last updated
12/10/2008
Update your record
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