Prime Medical Group Pllc

NPI #1649879750 in Benton, Arkansas

Provider Information

NPI Number: 1649879750
Entity Type: Organization
Organization Name: Prime Medical Group Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: PRIME MEDICAL GROUP PLLC
Primary Specialty: Dermatology
Enumeration Date: Oct 20, 2020
Last Updated: Oct 20, 2020

Practice Location

Address: 5 MEDICAL PARK DR STE 200
City: Benton
State: Arkansas
ZIP Code: 72015-3732
Phone: (501) 776-3800

Authorized Official

Name: RAY KOHLER PARKER
Title: PHYSICIAN
Phone: (501) 227-8422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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