institution
Dickson Street Clinic
Adult Medicine Physician in Fayetteville, Arkansas
NPI 1427236926

Dickson Street Clinic is an Adult Medicine Physician based in Fayetteville, AR and is specialized in Adult Medicine. Dickson Street Clinic practices in Fayetteville, AR. The NPI Number for Dickson Street Clinic is 1427236926 and holds a License No. C4954 (Arkansas).

The current practice location address for Dickson Street Clinic is 102 W Dickson St, Fayetteville, AR and can be reached out via phone at 479-521-1114 and via fax at 479-521-2540.

Location: 102 W Dickson St, Fayetteville, AR, 72701-5219
institution
Provider Profile Details
NPI Number
1427236926
Provider Name
Dickson Street Clinic
Credential
Provider Entity Type
Organization
Address
102 W Dickson St, Fayetteville, AR, 72701-5219
Phone Number
479-521-1114
Fax Number
479-521-2540
Provider Enumeration Date
02/06/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
102 W Dickson St
City
State
Zip
72701-5219
Phone Number
479-521-1114
Fax Number
479-521-2540
person
Provider Business Mailing Address Details
Address
102 W Dickson St
City
State
Zip
72701-5219
Phone Number
479-521-1114
Fax Number
479-521-2540
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
License No.
C4954 (Arkansas)
Definition
Definition to come.
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