NPI 1003814609

Regional Family Medicine PA

Organisation Family Medicine Physician Mountain Home, AR

Practice location

Address: 630 Burnett Dr, Mountain Home, AR 72653-2941
Phone: (870) 425-6971
Fax: (870) 508-8900

Authorised official

Name: John Gregory Elders
Title: Ceo
Phone: (870) 425-6971

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Arkansas →

Registry record

NPI: 1003814609
Entity type: Organization
NPI issued: 8 Jul 2005
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.