Waldron Place Pediatric Clinic, INC
NPI #1013047356 in Fort Smith, Arkansas
Provider Information
- NPI Number
- 1013047356
- Entity Type
- Organization
- Organization Name
- Waldron Place Pediatric Clinic, INC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Mar 6, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1501 S WALDRON RD STE 202
- City
- Fort Smith
- State
- Arkansas
- ZIP Code
- 72903-2598
- Phone
- (479) 452-8311
Authorized Official
- Name
- DR. FEDERICO CARLOS DE MIRANDA, M.D.
- Title
- OWNER
- Phone
- (479) 452-8311
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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