UNIVERSITY OF ARKANSAS AT MONTICELLO is a general practice in Monticello, AR. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Source: National Uniform Claim Committee UNIVERSITY OF ARKANSAS AT MONTICELLO NPI is 1083269690. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
663 UNIVERSITY DRIVE
MONTICELLO, AR
ZIP 71656
Phone: (870) 460-1058
The provider's authorized official is Mouzon Bass .
The authorized official title is Administrator/agent and has the following contact phone number (972) 367-4845.
The CLIA number assigned to this NPI record is 04D1073726 - school/student health service with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/9/2019 and was last updated on 8/9/2019.