| Jt Dewitt D.o.p.a. | |
|
11998 Highway 49 N Marmaduke AR 72443-9597 | |
| (870) 897-8433 | |
| (870) 897-8438 |
| Full Name | Jt Dewitt D.o.p.a. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 11998 Highway 49 N, Marmaduke, Arkansas |
| Authorized Official Name and Position | Jt Dewitt (CEO) |
| Authorized Official Contact | 8708978433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jt Dewitt D.o.p.a. 3071 Highway 34 E Marmaduke AR 72443-9773 Ph: (870) 897-8433 | Jt Dewitt D.o.p.a. 11998 Highway 49 N Marmaduke AR 72443-9597 Ph: (870) 897-8433 |
| NPI Number | 1639596091 |
|---|---|
| Provider Enumeration Date | 03/24/2014 |
| Last Update Date | 03/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639596091 | NPI | - | NPPES |
| 175408003 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | E4975 (Arkansas) | Primary |
Jt Dewitt, D.o., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11998 Highway 49 N, Marmaduke, AR 72443 Phone: 870-597-1231 | |
Access Medical Clinic Arkansas Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11885 Highway 49 N, Marmaduke, AR 72443 Phone: 870-565-9205 Fax: 870-895-2164 |