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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MED79

Active Organization

MED79 is a Family Medicine organization located in PINE BLUFF, Arkansas. NPI 1356117626 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · PINE BLUFF, AR

Registration Details

NPI Number
1356117626
Provider Type
Organization
NPI Issued
Nov 28, 2023 (2.7350008174142 yrs)
Last Updated
Nov 28, 2023

Practice Information

Address
2304 W 29TH AVE
PINE BLUFF, AR, 716035005
Browse AR providers · Browse ZIP 71603
Phone
5018045628
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.