Organization · Type 2 NPI
JT Dewitt D.o.p.a.
Primary Care Clinic/Center · Marmaduke, AR
NPI number
1639596091
Active
Practice location
11998 Highway 49 N
Marmaduke, AR 72443-9597
Fax (870) 897-8438
Mailing address
3071 Highway 34 E
Marmaduke, AR 72443-9773
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | E4975 (AR) |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
Other primary care clinic/center providers in Marmaduke
About NPI 1639596091
JT Dewitt D.o.p.a.'s National Provider Identifier is 1639596091, issued on Mar 24, 2014. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Marmaduke, AR. The record was last updated on Mar 24, 2014.