NPI 1083269690

University of Arkansas at Monticello

Organisation General Practice Physician Monticello, AR

Practice location

Address: 663 University Drive, Monticello, AR 71656
Phone: (870) 460-1058
Mailing address: 5050 Spring Valley Rd, Dallas, TX 75244-3995

Authorised official

Name: Mouzon Bass
Title: Administrator/Agent
Phone: (972) 367-4845

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Arkansas →

Registry record

NPI: 1083269690
Entity type: Organization
NPI issued: 9 Aug 2019
Record last updated: 9 Aug 2019

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.