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NPI Code Detail

MEDICARE: PHYSICIANS NETWORK INC.

MEDICARE: PHYSICIANS NETWORK INC.
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
1207R00000XInternal Medicine PhysicianAR
2207Q00000XFamily Medicine PhysicianAR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689679169
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHYSICIANS NETWORK INC.
Provider Business Mailing Address
First Line : PO BOX 309
Second Line :
City : JACKSONVILLE
State : AR
Zip : 72078-0309
Country : US
Telephone Number : 501-985-5900
Fax Number : 501-985-6016
Provider Business Practice Location Address
First Line : 1300 BRADEN ST
Second Line :
City : JACKSONVILLE
State : AR
Zip : 72076-3719
Country : US
Telephone Number : 501-985-5900
Fax Number : 501-985-6016
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. JULIAN DALE CALHOON
Credential : M.D.
Telephone Number : 501-985-5900
Provider Enumeration Date : 06/20/2005
Last Update Date : 07/21/2022

Similar Medicare Providers

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Practice Location Address:
1300 BRADEN ST
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72076-3719
Practice Phone: 501-985-5900
Practice Fax: 501-985-6016
1477559680 — REX E LUTTRELL M.D.
Practice Location Address:
1300 BRADEN ST , POD B
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1154327237 — ROBERT ROSS RITCHIE MD
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1300 BRADEN ST
JACKSONVILLE, AR
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Practice Fax: 501-985-6016
1679579650 — ALAN CHARLES JOHNSTON MD
Practice Location Address:
1300 BRADEN ST
JACKSONVILLE, AR
72076-3719
Practice Phone: 501-985-5900
Practice Fax: 501-985-6016
1336145325 — ANIEL HERMAS HOUSE JR. MD
Practice Location Address:
1300 BRADEN ST
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1952307860 — HAROLD KEITH SHORT MD
Practice Location Address:
1300 BRADEN ST
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72076-3719
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Practice Fax: 501-985-6016

Directions to “PHYSICIANS NETWORK INC. ” Practice Location

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