MENA INTERNAL MEDICINE NPI 1194846873

NPI Information

MENA INTERNAL MEDICINE is a specialist in Mena, AR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MENA INTERNAL MEDICINE NPI is 1194846873. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

531 POLK 77
MENA, AR
ZIP 71953-848
Phone: (479) 437-3602
Fax: (479) 437-3604

The provider's authorized official is David Henderson .
The authorized official title is Owner and has the following contact phone number (479) 437-3602.

The enumeration date for this NPI number is 4/2/2007 and was last updated on 8/14/2009.

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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