NPI 1043308935

Board of Governors of Dallas County Medical Center

Organisation Emergency Medical Services (Emergency Medicine) Physician Fordyce, AR

Practice location

Address: 201 North Clifton Street, Fordyce, AR 71742
Phone: (870) 352-6363
Fax: (870) 352-6343

Authorised official

Name: Tamara K Rieves
Title: Administrator / Ceo
Phone: (870) 352-6363

Registered specialties (2)

Emergency Medical Services (Emergency Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207PE0004X Licence AR4114 (AR)

Other Emergency Medicine providers in Arkansas →

Emergency Medical Services (Emergency Medicine) Physician

Allopathic & Osteopathic Physicians Taxonomy 207PE0004X

Registry record

NPI: 1043308935
Entity type: Organization
NPI issued: 10 Oct 2006
Record last updated: 12 Aug 2016

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.