Phomakay Primary Care PA

NPI #1124466701 in Barling, Arkansas

Provider Information

NPI Number
1124466701
Entity Type
Organization
Organization Name
Phomakay Primary Care PA
Primary Specialty
Family Medicine
Enumeration Date
Jun 5, 2013
Last Updated
Nov 27, 2013

Practice Location

Address
10301 MAYO DR
ZIP Code
72923-1660
Phone
(479) 782-5500

Authorized Official

Name
CHANSAMONE M PHOMAKAY, MD
Title
OWNER
Phone
(479) 782-5500

Specialties & Taxonomy Codes

Specialty
Family Medicine

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