NPI 1336184431

University of Arkansas for Medical Sciences

Organisation Family Medicine Physician Star City, AR

Practice location

Address: 203 S Jefferson St, Star City, AR 71667
Phone: (870) 628-5110
Fax: (870) 628-5949
Mailing address: 4010 Mulberry St, Pine Bluff, AR 71603

Authorised official

Name: Kathleen Wylie
Title: Office Manager
Phone: (870) 541-6008

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Arkansas →

Registry record

NPI: 1336184431
Entity type: Organization
NPI issued: 20 Jun 2006
Record last updated: 12 Jun 2008

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.