Organization Name: | MEDI-QUICK WALK-IN CLINIC, P.A. |
NPI Number: | 1912158619 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANTHONY SLOAN (DOCTOR OF MEDICINE) |
Mailing Address: | 10144 Highway 63 North Suite A Bono |
State: | AR US |
Postal Code: | 72416 |
Phone Number: | 8709328600 |
Fax Number: | 8709328601 |
NPI Enumeration Date: | 10/01/2008 |
NPI Last Update Date: | 10/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | E-4047 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AR |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |