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Jt Dewitt D.o.p.a.
Primary Care Clinic/Center in Marmaduke, Arkansas
NPI 1639596091

Jt Dewitt D.o.p.a. is a Primary Care Clinic/Center based in Marmaduke, AR and is specialized in Primary Care. Jt Dewitt D.o.p.a. practices in Marmaduke, AR. The NPI Number for Jt Dewitt D.o.p.a. is 1639596091 and holds a License No. E4975 (Arkansas).

The current practice location address for Jt Dewitt D.o.p.a. is 11998 Highway 49 N, Marmaduke, AR and can be reached out via phone at 870-897-8433 and via fax at 870-897-8438.

Location: 11998 Highway 49 N, Marmaduke, AR, 72443-9773
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639596091
Provider Name
Jt Dewitt D.o.p.a.
Credential
Provider Entity Type
Organization
Address
11998 Highway 49 N, Marmaduke, AR, 72443-9773
Phone Number
870-897-8433
Fax Number
870-897-8438
Provider Enumeration Date
03/24/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
175408003 05 AR
institution
Provider Business Practice Location Address Details
Address
11998 Highway 49 N
City
Marmaduke
State
Arkansas
Zip
72443-9597
Phone Number
870-897-8433
Fax Number
870-897-8438
person
Provider Business Mailing Address Details
Address
11998 Highway 49 N
City
Marmaduke
State
Arkansas
Zip
72443-9597
Phone Number
870-897-8433
Fax Number
870-897-8438
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
E4975 (Arkansas)
Definition
Definition to come...
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