National Provider Identifier Database

CONDREY PEDIATRIC CLINIC
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

CONDREY PEDIATRIC CLINIC
4 MEDICAL PLZ
MOUNTAIN HOME, AR72653-2919
Phone: 870-425-6272
Fax: 870-424-3320
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for CONDREY PEDIATRIC CLINIC

NPI Number 1427284694
Legal business name
LBN
CONDREY PEDIATRIC CLINIC
Authorized official CAROL VAUGHN - (PRACTICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 06/02/2009
Last updated 06/02/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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