Clarksville Medical Group, P.a.
NPI #1417009374 in Clarksville, Arkansas
Provider Information
- NPI Number
- 1417009374
- Entity Type
- Organization
- Organization Name
- Clarksville Medical Group, P.a.
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Jan 18, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 601 W MCKENNON ST
- City
- Clarksville
- State
- Arkansas
- ZIP Code
- 72830-3523
- Phone
- (479) 754-8384
Authorized Official
- Name
- LEANNA J PERRETT
- Title
- OFFICE MANAGER
- Phone
- (479) 754-8384
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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