Maumelle Medical Clinic

NPI #1073629408 in Maumelle, Arkansas

Provider Information

NPI Number
1073629408
Entity Type
Organization
Organization Name
Maumelle Medical Clinic
Primary Specialty
Family Medicine
Enumeration Date
Aug 21, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
600 PINE FOREST DR
Address 2
STE 200
ZIP Code
72113-6910
Phone
(501) 803-9900

Authorized Official

Name
JERRY POOLE
Title
MANAGER
Phone
(501) 803-0999

Specialties & Taxonomy Codes

Specialty
Family Medicine

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