Provider First Line Business Practice Location Address:
200 W TYLER AVE
Provider Second Line Business Practice Location Address:
CRITTENDEN REGIONAL HOSPITAL
Provider Business Practice Location Address City Name:
WEST MEMPHIS
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72301-4223
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
870-735-1500
Provider Business Practice Location Address Fax Number:
870-400-2644
Provider Enumeration Date:
06/09/2006