Organization · Type 2 NPI
Petty Medical Clinic, LLC
Primary Care Clinic/Center · Lowell, AR
NPI number
1255746772
Active
Practice location
114 Harrison Ave, Suite C
Lowell, AR 72745-9047
Fax (479) 668-4003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | E2717 (AR) |
Primary Care Clinic/Center: Definition to come...
5 other providers at this address
Other primary care clinic/center providers in Lowell
About NPI 1255746772
Petty Medical Clinic, LLC's National Provider Identifier is 1255746772, issued on Jun 23, 2014. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Lowell, AR. The record was last updated on Jun 23, 2014.