Iti Chito Enterprises INC

NPI #1134885833 in De Queen, Arkansas

Provider Information

NPI Number: 1134885833
Entity Type: Organization
Organization Name: Iti Chito Enterprises INC
Subpart: Yes (part of a larger organization)
Parent Organization: LOCKESBURG FAMILY CLINIC
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Nov 17, 2021
Last Updated: Dec 2, 2021

Practice Location

Address: 500 E COLLIN RAYE DR STE 2
City: De Queen
State: Arkansas
ZIP Code: 71832-8068
Phone: (870) 289-5192

Authorized Official

Name: RUSTY LYNN GRIFFIN
Title: OWNER
Phone: (501) 765-0275

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Urgent Care — Urgent Care	261QU0200X
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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De Queen Medical Center, INC	Clinic/Center - Primary Care	De Queen	AI Deep Dive
Iti Chito Enterprises INC	Clinic/Center - Primary Care	De Queen	AI Deep Dive
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