University of Arkansas at Monticello

NPI #1083269690 in Monticello, Arkansas

Provider Information

NPI Number: 1083269690
Entity Type: Organization
Organization Name: University of Arkansas at Monticello
Primary Specialty: General Practice
Enumeration Date: Aug 9, 2019
Last Updated: Aug 9, 2019

Practice Location

Address: 663 UNIVERSITY DRIVE
City: Monticello
State: Arkansas
ZIP Code: 71656
Phone: (870) 460-1058

Authorized Official

Name: MOUZON BASS III
Title: ADMINISTRATOR/AGENT
Phone: (972) 367-4845

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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