Organization Name: | NEW PARKHILL PA |
NPI Number: | 1356317374 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DONITA L KOSSOVER (ADMINISTRATOR) |
Mailing Address: | 4301 Greathouse Springs Rd Suite 100 Johnson |
State: | AR US |
Postal Code: | 727410523 |
Phone Number: | 4795214433 |
Fax Number: | 4795210444 |
NPI Enumeration Date: | 02/28/2006 |
NPI Last Update Date: | 03/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | MC-0060 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |