MORRILTON MEDICAL CLINIC P.A. NPI 1144312299

NPI Information

MORRILTON MEDICAL CLINIC, P.A. is a family medicine in Morrilton, 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. MORRILTON MEDICAL CLINIC, P.A. NPI is 1144312299. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

#10 HOSPITAL DRIVE
MORRILTON, AR
ZIP 72110
Phone: (501) 354-0052
Fax: (501) 354-9142

The provider's authorized official is Mark Hoelzeman .
The authorized official title is Administrator and has the following contact phone number (501) 354-0052.

The CLIA number assigned to this NPI record is 04D2284134 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/28/2006 and was last updated on 2/29/2008.

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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