Urban Medical Clinic

NPI #1295030815 in Cherokee Village, Arkansas

Provider Information

NPI Number: 1295030815
Entity Type: Organization
Organization Name: Urban Medical Clinic
Primary Specialty: General Practice
Enumeration Date: Jan 12, 2011
Last Updated: Apr 19, 2011

Practice Location

Address: 1 WEST CHEROKEE VILLAGE MALL #12
City: Cherokee Village
State: Arkansas
ZIP Code: 72529
Phone: (870) 257-4110

Authorized Official

Name: ROSS DOUGLAS
Title: BILLING MANAGER
Phone: (870) 424-5079

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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