| North Pulaski Diagnostic Clinic | |
|
2215 Wildwood Ave Suite 201 Sherwood AR 72120-5089 | |
| (501) 833-8400 | |
| (501) 833-0266 |
| Full Name | North Pulaski Diagnostic Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 2215 Wildwood Ave, Sherwood, Arkansas |
| Authorized Official Name and Position | Ruth Hickman (OFFICE MANAGER) |
| Authorized Official Contact | 5018338400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Pulaski Diagnostic Clinic 2215 Wildwood Ave Suite 201 Sherwood AR 72120-5089 Ph: (501) 833-8400 | North Pulaski Diagnostic Clinic 2215 Wildwood Ave Suite 201 Sherwood AR 72120-5089 Ph: (501) 833-8400 |
| NPI Number | 1053397554 |
|---|---|
| Provider Enumeration Date | 12/16/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053397554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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