Organization
DERMOTT FAMILY PRACTICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLYN E. VOGLER MEDICAL DOCTOR (PRESIDENT)
(870) 538-3800
Entity
Organization
Contact information
Practice address
105 N FREEMAN ST, DERMOTT, AR 71638-2304
(870) 538-3800
Mailing address
PO BOX 227, DERMOTT, AR 71638-0227
(870) 538-3800
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
E-3872
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154472001
—
AR
Enumeration date
04/17/2008
Last updated
04/17/2008
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