| Imboden Clinic | |
|
201 N Walnut Street Imboden AR 72434 | |
| (870) 869-3101 | |
| (870) 869-3014 |
| Full Name | Imboden Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 201 N Walnut Street, Imboden, Arkansas |
| Authorized Official Name and Position | Vanessa K Wagner (CFO) |
| Authorized Official Contact | 8708861263 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imboden Clinic Po Box 839 Walnut Ridge AR 72476-0839 Ph: (870) 886-1200 | Imboden Clinic 201 N Walnut Street Imboden AR 72434 Ph: (870) 869-3101 |
| NPI Number | 1548514029 |
|---|---|
| Provider Enumeration Date | 11/05/2012 |
| Last Update Date | 02/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548514029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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