| The Doctor's Office Of Marked Tree | |
|
202 Newsome Dr Marked Tree AR 72365-2021 | |
| (870) 358-4355 | |
| (870) 358-4357 |
| Full Name | The Doctor's Office Of Marked Tree |
|---|---|
| Speciality | Family Medicine |
| Location | 202 Newsome Dr, Marked Tree, Arkansas |
| Authorized Official Name and Position | Kimitaka Saito (OWNER PHYSICIAN) |
| Authorized Official Contact | 8703584355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Doctor's Office Of Marked Tree Po Box 616 Marked Tree AR 72365-0616 Ph: (870) 358-4355 | The Doctor's Office Of Marked Tree 202 Newsome Dr Marked Tree AR 72365-2021 Ph: (870) 358-4355 |
| NPI Number | 1700905296 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 07/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700905296 | NPI | - | NPPES |
| 142472002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | R2736 (Arkansas) | Primary |
Crittenden Hospital Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Nathan St, Marked Tree, AR 72365 Phone: 870-358-2036 Fax: 870-358-4116 | |
Bradley Bibb Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 202 Newsome Dr, Marked Tree, AR 72365 Phone: 870-358-4355 Fax: 870-994-7488 |