Organization · Type 2 NPI
Divine Medical Outreach Services
Health Service Clinic/Center · North Little Rock, AR
NPI number
1194901736
Active
Practice location
5553 Springvale Rd
North Little Rock, AR 72116-3740
Fax (501) 771-9211
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | R66896 (AR) |
Health Service Clinic/Center: Definition to come...
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About NPI 1194901736
Divine Medical Outreach Services's National Provider Identifier is 1194901736, issued on Jan 14, 2008. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in North Little Rock, AR. The record was last updated on Jan 14, 2008.