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Pediatric Associates Of West Memphis, Pllc
Clinic/Center in West Memphis, Arkansas
NPI 1407966005

Pediatric Associates Of West Memphis, Pllc is a Clinic/Center based in West Memphis, AR. Pediatric Associates Of West Memphis, Pllc practices in West Memphis, AR. The NPI Number for Pediatric Associates Of West Memphis, Pllc is 1407966005 and holds a License No. (Arkansas).

The current practice location address for Pediatric Associates Of West Memphis, Pllc is 108 W Tyler, West Memphis, AR and can be reached out via phone at 870-732-1191 and via fax at 870-732-4091.

Location: 108 W Tyler, West Memphis, AR, 72301-4221
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407966005
Provider Name
Pediatric Associates Of West Memphis, Pllc
Credential
Provider Entity Type
Organization
Address
108 W Tyler, West Memphis, AR, 72301-4221
Phone Number
870-732-1191
Fax Number
870-732-4091
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
152363002 05 AR
institution
Provider Business Practice Location Address Details
Address
108 W Tyler
City
West Memphis
State
Arkansas
Zip
72301-4221
Phone Number
870-732-1191
Fax Number
870-732-4091
person
Provider Business Mailing Address Details
Address
108 W Tyler
City
West Memphis
State
Arkansas
Zip
72301-4221
Phone Number
870-732-1191
Fax Number
870-732-4091
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
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Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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