Leachville Primary Care Clinic, INC

NPI #1376531160 in Leachville, Arkansas

Provider Information

NPI Number: 1376531160
Entity Type: Organization
Organization Name: Leachville Primary Care Clinic, INC
Primary Specialty: Specialist
Enumeration Date: Oct 6, 2005
Last Updated: Mar 8, 2012

Practice Location

Address: 111 S MAIN ST
City: Leachville
State: Arkansas
ZIP Code: 72438-0580
Phone: (870) 539-1115

Authorized Official

Name: MR. JOHN S JOHNSON, M.D.
Title: OWNER
Phone: (870) 539-1115

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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