| Westbrook Medical Clinic Pa | |
|
107 N 9th St Ozark AR 72949-2796 | |
| (479) 667-2923 | |
| (479) 667-2857 |
| Full Name | Westbrook Medical Clinic Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 107 N 9th St, Ozark, Arkansas |
| Authorized Official Name and Position | Michael R Westbrook (OWNER) |
| Authorized Official Contact | 4796672923 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Westbrook Medical Clinic Pa 107 N 9th St Ozark AR 72949-2796 Ph: (479) 667-2923 | Westbrook Medical Clinic Pa 107 N 9th St Ozark AR 72949-2796 Ph: (479) 667-2923 |
| NPI Number | 1982733937 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 04/20/2010 |
| Medicare PECOS PAC ID | 6709869167 |
|---|---|
| Medicare Enrollment ID | O20040608001126 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982733937 | NPI | - | NPPES |
| 127408002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C5021 (Arkansas) | Primary |
| Provider Name | Jessica Lynn Duggar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306368501 PECOS PAC ID: 4688934953 Enrollment ID: I20180206000147 |
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