Organization Name: | RICH MOUNTAIN WOMENS CLINIC |
NPI Number: | 1861631723 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN D. MESKO (DOCTOR) |
Mailing Address: | 403 Morrow St N Ste A Mena |
State: | AR US |
Postal Code: | 719534324 |
Phone Number: | 4793944595 |
Fax Number: | 4793941140 |
NPI Enumeration Date: | 02/16/2009 |
NPI Last Update Date: | 02/16/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | C-6220 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |