Abraham Medical Center, PA
Family Medicine in Mountain Home, AR. Organization (NPI-2).
NPI number1275692790
StatusActive
Last updated in NPPESJan 6, 2012
Details
- NPI
- 1275692790
- Entity type
- Organization (NPI-2)
- Legal business name
- Abraham Medical Center, PA
- Organization subpart
- No
- Enumeration date
- Dec 8, 2006
- Last updated
- Jan 6, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
15 Green Valley DrMountain Home, AR 72653-8102
Phone 870-425-6991
Mailing address
15 Green Valley DrMountain Home, AR 72653-8102
Phone 870-425-6991
Authorized official
K Simon S Abraham
President
8704256991
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