Oak Park Medical C,linic, P.a.

NPI #1902865579 in Batesville, Arkansas

Provider Information

NPI Number: 1902865579
Entity Type: Organization
Organization Name: Oak Park Medical C,linic, P.a.
Primary Specialty: Family Medicine
Enumeration Date: Mar 21, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1301 WHITE DR
City: Batesville
State: Arkansas
ZIP Code: 72501-9467
Phone: (870) 793-6887

Authorized Official

Name: DR. LACKEY GENE MOODY, M.D.
Title: CEO
Phone: (870) 793-9887

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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