FRANK G THIBAULT MD PA NPI 1023233012

NPI Information

FRANK G THIBAULT MD, PA is an obstetrics obstetrics gynecology in Benton, AR. FRANK G THIBAULT MD, PA NPI is 1023233012. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

910 N EAST ST
BENTON, AR
ZIP 72015-327
Phone: (501) 315-7774
Fax: (501) 315-7772

The provider's authorized official is Frank G Thibault .
The authorized official title is Owner and has the following contact phone number (501) 315-7774.

The enumeration date for this NPI number is 4/16/2007 and was last updated on 9/19/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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