Lg Sasser III MD LLC
Family Medicine in Barling, AR. Organization (NPI-2).
NPI number1578043394
StatusActive
Last updated in NPPESAug 21, 2018
Details
- NPI
- 1578043394
- Entity type
- Organization (NPI-2)
- Legal business name
- Lg Sasser III MD LLC
- Organization subpart
- No
- Enumeration date
- Aug 21, 2018
- Last updated
- Aug 21, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | AR | Yes |
Practice location
1200 Fort StBarling, AR 72923-2013
Phone 479-763-1511 · Fax 479-358-1455
Mailing address
Po Box 1446Alma, AR 72921-1446
Phone 479-430-8503 · Fax 479-358-1455
Authorized official
Louis Gordon Sasser
Owner
4794308503
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