institution
Fonticiella Medical Clinic, Inc
Specialist in Paragould, Arkansas
NPI 1649285511

Fonticiella Medical Clinic, Inc is a Specialist based in Paragould, AR. Fonticiella Medical Clinic, Inc practices in Paragould, AR. The NPI Number for Fonticiella Medical Clinic, Inc is 1649285511 and holds a License No. C6766 (Arkansas).

The current practice location address for Fonticiella Medical Clinic, Inc is 1000 West Kingshighway, Paragould, AR and can be reached out via phone at 870-236-6930 and via fax at 870-239-8065. You can also correspond with Fonticiella Medical Clinic, Inc through the mailing address at 1000 WEST KINGSHIGHWAY, PARAGOULD, AR - 72450-8894 (mailing address contact number: 870-236-6930).

Location: 1000 West Kingshighway, Paragould, AR, 72450-8894
institution
Provider Profile Details
NPI Number
1649285511
Provider Name
Fonticiella Medical Clinic, Inc
Credential
Provider Entity Type
Organization
Address
1000 West Kingshighway, Paragould, AR, 72450-8894
Phone Number
870-236-6930
Fax Number
870-239-8065
Provider Enumeration Date
07/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
157456002 05 AR
institution
Provider Business Practice Location Address Details
Address
1000 West Kingshighway
City
State
Zip
72450-8894
Phone Number
870-236-6930
Fax Number
870-239-8065
person
Provider Business Mailing Address Details
Address
1000 West Kingshighway
City
State
Zip
72450-8894
Phone Number
870-236-6930
Fax Number
870-239-8065
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
C6766 (Arkansas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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