NPI 1467817148

Harrison Pediatrics

Organisation Preferred Provider Organization Harrison, AR

Practice location

Address: 1418 McCoy Dr, Harrison, AR 72601-2411
Phone: (870) 391-5903
Fax: (870) 743-4641

Authorised official

Name: Soma Ghosh
Title: Office Manager
Phone: (870) 391-5903

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence MC-3097 (AR)

Other Preferred Provider Organization providers in Arkansas →

Registry record

NPI: 1467817148
Entity type: Organization
NPI issued: 22 Dec 2015
Record last updated: 22 Dec 2015

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.