Oldenberg INC

NPI #1215239702 in Cherokee Village, Arkansas

Provider Information

NPI Number: 1215239702
Entity Type: Organization
Organization Name: Oldenberg INC
Primary Specialty: Family Medicine
Enumeration Date: Dec 3, 2010
Last Updated: Dec 3, 2010

Practice Location

Address: 1 WEST CHEROKEE VILLAGE MALL
City: Cherokee Village
State: Arkansas
ZIP Code: 72529
Phone: (870) 257-4110

Authorized Official

Name: DENISE OLDENBERG, M.D.
Title: PRESIDENT
Phone: (870) 257-4110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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