Unknown Individual – Family Medicine Physician, NPI 1396850004
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 158
WYNNE, AR 723960158
Phone: (870) 238-2321
Fax: (870) 238-0114
Type: Mailing
Wynne Medical Clinic, 710, South Falls Boulevard, Wynne, Cross County, Arkansas, 72396, United States
WYNNE, AR 723963514
Phone: (870) 238-2321
Fax: (870) 238-0114
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 72396)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | AR | 90670 | Pneumococcal vaccine for injection into muscle | 11 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AR | |
| - | AR | |
| - | AR |
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