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
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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