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

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XE4975 (AR)

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

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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.