SALINE MEDICAL GROUP NPI 1700830718

NPI Information

SALINE MEDICAL GROUP is a family medicine in Benton, AR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SALINE MEDICAL GROUP NPI is 1700830718. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

624 ALCOA
BENTON, AR
ZIP 72015-404
Phone: (501) 315-4512
Fax: (501) 315-0917

The provider's authorized official is Roger L Tilley .
The authorized official title is Owner and has the following contact phone number (501) 315-4512.

The CLIA number assigned to this NPI record is 04D0466144 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/22/2006 and was last updated on 2/15/2016.

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

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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