Great River Pediatric Clinic

NPI #1467586131 in Blytheville, Arkansas

Provider Information

NPI Number: 1467586131
Entity Type: Organization
Organization Name: Great River Pediatric Clinic
Primary Specialty: Pediatrics
Enumeration Date: Mar 15, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1521 N 10TH ST
Address 2: STE F
City: Blytheville
State: Arkansas
ZIP Code: 72315-1405
Phone: (870) 780-6832

Authorized Official

Name: DR. BENJAMIN ASAFO-BOAKYE, M.D., MPH, FAAP
Title: PEDIATRICIAN
Phone: (870) 780-6832

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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Benjamin Asafo-Boakye, MD	Pediatrics	Blytheville	AI Deep Dive
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