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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, P.A.

NPI # 1598023285
LBN Legal business name ECCLES MEDICAL, P.A.
Authorized official TERESA ECCLES - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/01/2012
Last updated 07/03/2014 - About 12 years ago
Identifiers
AR License # E-7083
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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