University of Arkansas for Medical Science South

NPI #1376939785 in Magnolia, Arkansas

Provider Information

NPI Number
1376939785
Entity Type
Organization
Organization Name
University of Arkansas for Medical Science South
Primary Specialty
General Acute Care Hospital - Rural
Enumeration Date
Apr 13, 2015
Last Updated
Apr 13, 2015

Practice Location

Address
1617 N WASHINGTON
ZIP Code
71753-2046
Phone
(240) 462-7236

Authorized Official

Name
DR. EDILBERTO DIZON ATIENZA JR., M.D.
Title
FAMILY MEDICINE RESIDENT
Phone
(240) 462-7236

Specialties & Taxonomy Codes

Specialty
General Acute Care Hospital - RuralRural

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