MARION MINOR MEDICAL LLC NPI 1962823310

NPI Information

MARION MINOR MEDICAL LLC is a general practice in Marion, AR. MARION MINOR MEDICAL LLC NPI is 1962823310. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

136 BLOCK ST
MARION, AR
ZIP 72364-956
Phone: (870) 559-2314
Fax: (870) 559-2392

The provider's authorized official is Micheal D Charlton .
The authorized official title is Aprn and has the following contact phone number (870) 559-2314.

The CLIA number assigned to this NPI record is 04D2071136 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/1/2014 and was last updated on 6/3/2015.

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:

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