Organization
MOUNTAIN HOME NEPHROLOGY AND PULMONOLOGY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARA REBECCA MARTIN M.D. (PHYSICIAN)
(501) 786-0802
Entity
Organization
Contact information
Practice address
555 W 6TH ST, MOUNTAIN HOME, AR 72653-3409
(870) 425-1787
(870) 425-2009
Mailing address
555 W 6TH ST, MOUNTAIN HOME, AR 72653-3409
(870) 425-1787
(870) 425-2009
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
E-5121
AR
207RN0300X
Nephrology Physician
E-5332
AR
207RP1001X
Pulmonary Disease Physician
Primary
E-5121
AR
Other
Enumeration date
07/29/2011
Last updated
12/12/2012
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