South Logan Family Practice
NPI #1447461900 in Booneville, Arkansas
Provider Information
- NPI Number
- 1447461900
- Entity Type
- Organization
- Organization Name
- South Logan Family Practice
- Primary Specialty
- Family Medicine
- Enumeration Date
- May 25, 2007
- Last Updated
- Jul 2, 2008
Practice Location
- Address
- 1808 EAST MAIN
- City
- Booneville
- State
- Arkansas
- ZIP Code
- 72927-1373
- Phone
- (479) 675-2228
Authorized Official
- Name
- MR. CLARENCE JAY ARENDALL, M.D.
- Title
- MEDICAL DOCTOR
- Phone
- (479) 675-2228
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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