Melissa Dirst-Roberts PLLC
Clinic/Center in Mountain Home, AR. Organization (NPI-2).
NPI number1982167029
StatusActive
Last updated in NPPESMar 18, 2020
Details
- NPI
- 1982167029
- Entity type
- Organization (NPI-2)
- Legal business name
- Melissa Dirst-Roberts PLLC
- Organization subpart
- No
- Enumeration date
- Apr 6, 2019
- Certification date
- Mar 18, 2020
- Last updated
- Mar 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
860 Highway 62 E Ste 10Mountain Home, AR 72653-3200
Phone 870-424-3181 · Fax 870-424-3089
Mailing address
860 Highway 62 E Ste 10Mountain Home, AR 72653-3200
Phone 870-424-3181 · Fax 870-424-3181
Authorized official
Melissa Dirst-Roberts
Sole Mbr
8704243181
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