Provider First Line Business Practice Location Address:
1509 EAST MAIN STREET SUITE 6
Provider Second Line Business Practice Location Address:
POPE COUNTY HEALTH UNIT
Provider Business Practice Location Address City Name:
RUSSELLVILLE
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72802-9405
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
479-890-4834
Provider Business Practice Location Address Fax Number:
479-968-8738
Provider Enumeration Date:
08/09/2006