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Contact Information

ECCLES MEDICAL, P.A.
67 W MAIN ST
SUITE 3
BOONEVILLE, AR72927-3642
 Phone: 479-675-3300
 Fax: 479-675-3301
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ECCLES MEDICAL PA · (Female)

NPI Number 1598023285
Status Active
Credentials
Entity Individual
Enumeration date 05/01/2012
Last updated 07/03/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • AR License # E-7083
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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