Western Arkansas Primary Care

NPI #1336577238 in Charleston, Arkansas

Provider Information

NPI Number: 1336577238
Entity Type: Organization
Organization Name: Western Arkansas Primary Care
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Oct 31, 2013
Last Updated: Oct 31, 2013

Practice Location

Address: 2617 E MAIN ST
City: Charleston
State: Arkansas
ZIP Code: 72933-9637
Phone: (479) 965-8888

Authorized Official

Name: TOMMY QUALLS
Title: OFFICE MANAGER
Phone: (479) 965-8888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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