Diffine Family Practice Pllc
NPI #1962707158 in Blytheville, Arkansas
Provider Information
- NPI Number
- 1962707158
- Entity Type
- Organization
- Organization Name
- Diffine Family Practice Pllc
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jan 19, 2011
- Last Updated
- Feb 7, 2024
Practice Location
- Address
- 1100 MEDICAL PLAZA DRIVE SOUTH
- Address 2
- SUITE C
- City
- Blytheville
- State
- Arkansas
- ZIP Code
- 72315
- Phone
- (870) 824-2809
Authorized Official
- Name
- DAVID A DIFFINE, M.D,
- Title
- PRESIDENT
- Phone
- (870) 824-2809
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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