Med79
NPI #1356117626 in Pine Bluff, Arkansas
Provider Information
- NPI Number
- 1356117626
- Entity Type
- Organization
- Organization Name
- Med79
- Primary Specialty
- Family Medicine
- Enumeration Date
- Nov 28, 2023
- Last Updated
- Nov 28, 2023
Practice Location
- Address
- 2304 W 29TH AVE
- City
- Pine Bluff
- State
- Arkansas
- ZIP Code
- 71603-5005
- Phone
- (501) 804-5628
Authorized Official
- Name
- CHRISTOPHER KEITH MCDANIEL, MD
- Title
- CEO
- Phone
- (501) 804-5628
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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