| Organization Name: | DE QUEEN MEDICAL CENTER INC |
| NPI Number: | 1194852715 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN A. MATHESON (CEO) |
| Mailing Address: | 1306 W Collin Raye Dr De Queen |
| State: | AR US |
| Postal Code: | 718322502 |
| Phone Number: | 8705840272 |
| Fax Number: | 8705844100 |
| NPI Enumeration Date: | 02/28/2007 |
| NPI Last Update Date: | 05/05/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | AR4365 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |