Mena Internal Medicine

NPI #1194846873 in Mena, Arkansas

Provider Information

NPI Number: 1194846873
Entity Type: Organization
Organization Name: Mena Internal Medicine
Primary Specialty: Specialist
Enumeration Date: Apr 2, 2007
Last Updated: Aug 14, 2009

Practice Location

Address: 531 POLK 77
City: Mena
State: Arkansas
ZIP Code: 71953-7848
Phone: (479) 437-3602

Authorized Official

Name: DR. DAVID HENDERSON, MD
Title: OWNER
Phone: (479) 437-3602

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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