NPI 1942400312

Memory Medical

Organisation Health Maintenance Organization Fayetteville, AR

Practice location

Address: 129 N Vaughn Rd, Fayetteville, AR 72701-0524
Phone: (479) 530-1771

Authorised official

Name: Gary Linker
Title: Psychiatrist
Phone: (479) 420-7476

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence E-1863 (AR)

Other Health Maintenance Organization providers in Arkansas →

Registry record

NPI: 1942400312
Entity type: Organization
NPI issued: 23 Jul 2007
Record last updated: 23 Jul 2007

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.