| Charles W. Himmler, D.o.,p.a. | |
|
1159 Main St Vilonia AR 72173-9525 | |
| (501) 796-8484 | |
| (501) 796-2453 |
| Full Name | Charles W. Himmler, D.o.,p.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 1159 Main St, Vilonia, Arkansas |
| Authorized Official Name and Position | Charles W. Himmler (OWNER) |
| Authorized Official Contact | 5017968484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles W. Himmler, D.o.,p.a. 1159 Main St P.o. Box 359 Vilonia AR 72173-9525 Ph: (501) 796-8484 | Charles W. Himmler, D.o.,p.a. 1159 Main St Vilonia AR 72173-9525 Ph: (501) 796-8484 |
| NPI Number | 1225140585 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 06/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225140585 | NPI | - | NPPES |
| 080017971 | Other | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Conway Regional Medical Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1159 Main St, Vilonia, AR 72173 Phone: 501-796-8484 Fax: 501-796-2453 | |
Arcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1127 Main St, Vilonia, AR 72173 Phone: 017-966-7405 Fax: 501-796-6744 |