DICKSON STREET CLINIC is an adult medicine family medicine in Fayetteville, AR. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. DICKSON STREET CLINIC NPI is 1427236926. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
102 W DICKSON ST
FAYETTEVILLE, AR
ZIP 72701-219
Phone: (479) 521-1114
Fax: (479) 521-2540
The provider's authorized official is Carl R Magness .
The authorized official title is Owner/physician and has the following contact phone number (479) 521-1114.
The enumeration date for this NPI number is 2/6/2008 and was last updated on 2/6/2008.