Monette Family Practice Clinic PA

NPI #1417071572 in Monette, Arkansas

Provider Information

NPI Number
1417071572
Entity Type
Organization
Organization Name
Monette Family Practice Clinic PA
Primary Specialty
Clinic/Center
Enumeration Date
Mar 16, 2007
Last Updated
Jul 10, 2008

Practice Location

Address
210 W DREW
ZIP Code
72447-0747
Phone
(870) 486-5464

Authorized Official

Name
GLEN CHRISTOPHER ROLLAND
Title
BILLING CLERK
Phone
(870) 486-5464

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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