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

DICKSON STREET CLINIC

Active Organization

DICKSON STREET CLINIC is a Adolescent Medicine organization located in FAYETTEVILLE, Arkansas. NPI 1427236926 is currently active in the NPPES registry. Verify at CMS.

Adolescent Medicine · FAYETTEVILLE, AR

Registration Details

NPI Number
1427236926
Provider Type
Organization
NPI Issued
Feb 6, 2008 (18.536485839767 yrs)
Last Updated
Feb 6, 2008
License
C4954 (AR)

Practice Information

Address
102 W DICKSON ST
FAYETTEVILLE, AR, 727015219
Browse AR providers · Browse ZIP 72701
Phone
4795211114
Fax
4795212540
Primary Specialty
Adolescent Medicine
207QA0505X

Other Adolescent Medicine Organizations in FAYETTEVILLE, AR

Name NPI
DONNA BEALLIS D.O. P.A. 1184951998
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.