DE QUEEN MEDICAL CENTER DIALYSIS is an end-stage renal disease (esrd) treatment clinic center in De Queen, AR. DE QUEEN MEDICAL CENTER DIALYSIS NPI is 1104356419. The provider is registered as an organization entity type.
The provider's business location address is:
1306 W COLLIN RAYE DR
DE QUEEN, AR
ZIP 71832-502
Phone: (870) 584-4111
Fax: (870) 584-4100
The provider's authorized official is Jerramy Icenhower .
The authorized official title is Administrator and has the following contact phone number (870) 584-0272.
The enumeration date for this NPI number is 6/19/2017 and was last updated on 7/21/2022.