institution
Benton Pediatric Clinic
Primary Care Clinic/Center in Benton, Arkansas
NPI 1497753198

Benton Pediatric Clinic is a Primary Care Clinic/Center based in Benton, AR and is specialized in Primary Care. Benton Pediatric Clinic practices in Benton, AR. The NPI Number for Benton Pediatric Clinic is 1497753198 and holds a License No. R2391 (Arkansas).

The current practice location address for Benton Pediatric Clinic is 115 Mcneil St, Benton, AR and can be reached out via phone at 501-315-0421 and via fax at 501-778-6312. You can also correspond with Benton Pediatric Clinic through the mailing address at 115 MCNEIL ST, BENTON, AR - 72015-3345 (mailing address contact number: 501-315-0421).

Location: 115 Mcneil St, Benton, AR, 72015-3345
institution
Provider Profile Details
NPI Number
1497753198
Provider Name
Benton Pediatric Clinic
Credential
Provider Entity Type
Organization
Address
115 Mcneil St, Benton, AR, 72015-3345
Phone Number
501-315-0421
Fax Number
501-778-6312
Provider Enumeration Date
07/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
50143 01 AR BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
115 Mcneil St
City
State
Zip
72015-3345
Phone Number
501-315-0421
Fax Number
501-778-6312
person
Provider Business Mailing Address Details
Address
115 Mcneil St
City
State
Zip
72015-3345
Phone Number
501-315-0421
Fax Number
501-778-6312
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
R2391 (Arkansas)
Definition
Definition to come...
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