Organization Name: | OZARK FAMILY PRACTICE, PA |
NPI Number: | 1144482282 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STACY ARMSTRONG (OWNER) |
Mailing Address: | 602 N Pine St Harrison |
State: | AR US |
Postal Code: | 726012842 |
Phone Number: | 8707434242 |
Fax Number: | |
NPI Enumeration Date: | 06/30/2008 |
NPI Last Update Date: | 11/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |