Arkansas Phs PA

NPI #1194956516 in Bentonville, Arkansas

Provider Information

NPI Number: 1194956516
Entity Type: Organization
Organization Name: Arkansas Phs PA
Subpart: Yes (part of a larger organization)
Parent Organization: PROVIDER HEALTH SERVICES LLC
Primary Specialty: Family Medicine
Enumeration Date: Aug 3, 2009
Last Updated: Jul 2, 2014

Practice Location

Address: 609 SW 8TH STREET
Address 2: SUITE 600
City: Bentonville
State: Arkansas
ZIP Code: 72712-8913
Phone: (901) 261-4848

Authorized Official

Name: NICOLE HOWARD
Title: CFO
Phone: (337) 991-9276

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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