Healthcare Provider Details

I. General information

NPI: 1689936213
Provider Name (Legal Business Name): CHARLES ADAM PEARROW D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2012
Last Update Date: 05/05/2025
Certification Date: 05/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

508 COUNTRY CHARM RD
MOUNTAIN VIEW AR
72560-6501
US

IV. Provider business mailing address

PO BOX 1160
MOUNTAIN VIEW AR
72560-1160
US

V. Phone/Fax

Practice location:
  • Phone: 870-213-0522
  • Fax: 870-999-0243
Mailing address:
  • Phone: 870-269-3838
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number919019519
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberE9948
License Number StateAR
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberT2016-100
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: