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Washington Regional Medical System

Family Medicine in Farmington, AR. Organization (NPI-2).

NPI number1275839011
StatusActive
Last updated in NPPESJan 26, 2011

Details

NPI
1275839011
Entity type
Organization (NPI-2)
Legal business name
Washington Regional Medical System
Organization subpart
No
Enumeration date
Jan 26, 2011
Last updated
Jan 26, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Other names

  • Washington Regional Family Clinic - Farmington (Doing Business As)

Practice location

199 E Main St
Farmington, AR 72730-3077

Phone 479-267-1001 · Fax 479-267-1026

Mailing address

12 E Appleby Rd
Clinic Administration
Fayetteville, AR 72703-3901

Phone 479-463-1704 · Fax 479-463-7864

Authorized official

Daniel R Eckels
Senior Vice President And Cfo
4794636026

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