Board Certified Family Practice
NPI #1336358407 in Blytheville, Arkansas
Provider Information
- NPI Number
- 1336358407
- Entity Type
- Organization
- Organization Name
- Board Certified Family Practice
- Primary Specialty
- Family Medicine
- Enumeration Date
- May 22, 2007
- Last Updated
- Mar 3, 2014
Practice Location
- Address
- 527 NORTH SIXTH STREET
- City
- Blytheville
- State
- Arkansas
- ZIP Code
- 72315-2790
- Phone
- (870) 763-4541
Authorized Official
- Name
- MRS. LISA LYNN SMITH
- Title
- OFFICE MANAGER
- Phone
- (870) 763-7695
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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