Marion Minor Medical LLC

NPI #1962823310 in Marion, Arkansas

Provider Information

NPI Number: 1962823310
Entity Type: Organization
Organization Name: Marion Minor Medical LLC
Primary Specialty: General Practice
Enumeration Date: Jan 1, 2014
Last Updated: Jun 3, 2015

Practice Location

Address: 136 BLOCK ST
City: Marion
State: Arkansas
ZIP Code: 72364-1956
Phone: (870) 559-2314

Authorized Official

Name: MICHEAL D CHARLTON
Title: APRN
Phone: (870) 559-2314

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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