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Ft Smith Hma Pbc Management, LLC

Internal Medicine in Fort Smith, AR. Organization (NPI-2).

NPI number1487945192
StatusActive
Last updated in NPPESNov 27, 2012

Details

NPI
1487945192
Entity type
Organization (NPI-2)
Legal business name
Ft Smith Hma Pbc Management, LLC
Organization subpart
Yes
Enumeration date
Apr 28, 2011
Last updated
Nov 27, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes

Other names

  • Hodge Internal Medicine (Doing Business As)

Practice location

400 S 16th St
Fort Smith, AR 72901-4626

Phone 479-709-7225 · Fax 479-709-7229

Mailing address

5811 Pelican Bay Blvd
Suite 500
Naples, FL 34108-2733

Phone 239-598-3131 · Fax 239-592-0438

Authorized official

Michael L Gingras
Vice President
2395983131

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