Unknown Individual – Family Medicine Physician, NPI 1124095120
Family Medicine Physician
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NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 21850
HOT SPRINGS, AR 719031850
Phone: (501) 627-1800
Fax: (501) 627-1899
Type: Mailing
320, Luzerne Street, Mount Ida, Montgomery County, Arkansas, 71957, United States
MOUNT IDA, AR 719579437
Phone: (870) 867-2175
Fax: (870) 867-4050
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 71903)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AR | |
| Diagnostic Radiology | AR | |
| Family Practice | AR | |
| Internal Medicine, Pediatric Medicine | AR | |
| Physician Assistant | AR | |
| - | AR | |
| Internal Medicine | AR | |
| General Surgery | NE | |
| Nurse Practitioner | AR | |
| Internal Medicine | AR |
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