FONTICIELLA MEDICAL CLINIC INC NPI 1649285511

NPI Information

FONTICIELLA MEDICAL CLINIC, INC is a specialist in Paragould, AR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. FONTICIELLA MEDICAL CLINIC, INC NPI is 1649285511. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1000 WEST KINGSHIGHWAY
SUITE 12
PARAGOULD, AR
ZIP 72450-894
Phone: (870) 236-6930
Fax: (870) 239-8065

The provider's authorized official is Adalberto Ramon Fonticiella .
The authorized official title is M.d. and has the following contact phone number (870) 236-6930.

The enumeration date for this NPI number is 7/29/2006 and was last updated on 8/8/2016.

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

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