Healthcare Provider Details

I. General information

NPI: 1407812803
Provider Name (Legal Business Name): RITA K ALLBRIGHT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2006
Last Update Date: 03/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 N EDMOND
MCCRORY AR
72101
US

IV. Provider business mailing address

PO BOX 497 623 N 9TH ST
AUGUSTA AR
72006
US

V. Phone/Fax

Practice location:
  • Phone: 870-731-5411
  • Fax: 870-731-5431
Mailing address:
  • Phone: 870-347-3300
  • Fax: 870-347-3492

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberE1793
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: