Nicole M. Scally MD PA

NPI #1891186193 in Rogers, Arkansas

Provider Information

NPI Number: 1891186193
Entity Type: Organization
Organization Name: Nicole M. Scally MD PA
Primary Specialty: Family Medicine
Enumeration Date: Feb 9, 2015
Last Updated: Mar 11, 2016

Practice Location

Address: 2000 S PROMENADE BLVD
Address 2: SUITE 202
City: Rogers
State: Arkansas
ZIP Code: 72758-9073
Phone: (479) 282-2737

Authorized Official

Name: DR. NICOLE SCALLY, MD
Title: CHAIRMAN/PRESIDENT/SECRETARY
Phone: (479) 282-2737

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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