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Physicians Preventive Medicine Public Health & General Preventive Medicine

Provider NPI: 1053703918

Organization Information:
Organization is not Subpart
Authorized Official:  LEE  BROWN  PRESIDENT & CEO  501-404-4799

Practice Location:
Tel: 501-404-4799  Fax: 501-404-4787

Business Mailing Address:
PO BOX 56068  LITTLE ROCK, AR 72215-6068 US
Tel: 501-404-4799  Fax: 501-404-4787

NPI Information:
NPI: 1053703918
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Preventive Medicine
Public Health & General Preventive Medicine
Case Management
Community/Behavioral Health
Voluntary or Charitable
Early Intervention Provider Agency
N261Q00000XAmbulatory Health Care Facilities
N261QR1300XAmbulatory Health Care Facilities
Public Health or Welfare

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 251K00000X





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