Harrison Family Practice Clinic, PA

NPI #1093781825 in Harrison, Arkansas

Provider Information

NPI Number: 1093781825
Entity Type: Organization
Organization Name: Harrison Family Practice Clinic, PA
Primary Specialty: Family Medicine
Enumeration Date: Feb 23, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 715 W SHERMAN AVE
Address 2: SUITE G
City: Harrison
State: Arkansas
ZIP Code: 72601-2743
Phone: (870) 741-8247

Authorized Official

Name: MAHLON OGDEN MARIS, M.D.
Title: OWNER
Phone: (870) 741-8247

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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