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NPI Code Detail

MEDICARE: PHILLIPS CLINIC COMPANY, LLC

MEDICARE: PHILLIPS CLINIC COMPANY, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianAR

General Provider Information

NPI Number : 1265434484
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHILLIPS CLINIC COMPANY, LLC
Provider Business Mailing Address
First Line : 1801 MARTIN LUTHER KING JR DR
Second Line :
City : HELENA
State : AR
Zip : 72342-8998
Country : US
Telephone Number : 870-338-5800
Fax Number : 870-816-3909
Provider Business Practice Location Address
First Line : 1801 MARTIN LUTHER KING JR DR
Second Line :
City : HELENA
State : AR
Zip : 72342-8998
Country : US
Telephone Number : 870-816-3900
Fax Number : 870-816-3909
Authorized Official
Title or Position : ATTORNEY
Name : WILLIAM TAYLOR MARSHALL
Credential :
Telephone Number : 501-786-4007
Provider Enumeration Date : 06/01/2005
Last Update Date : 06/18/2025

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Directions to “PHILLIPS CLINIC COMPANY, LLC ” Practice Location

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