Organization · Type 2 NPI

Benton Pediatric Clinic

Primary Care Clinic/Center · Benton, AR

NPI number 1497753198 Active

Practice location

115 Mcneil St
Benton, AR 72015-3345

Fax (501) 778-6312

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XR2391 (AR)

Primary Care Clinic/Center: Definition to come...

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About NPI 1497753198

Benton Pediatric Clinic's National Provider Identifier is 1497753198, issued on Jul 7, 2005. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Benton, AR. The record was last updated on Aug 22, 2020.