Provider First Line Business Practice Location Address:
PRIORITY HEALTH CLINIC LLC
Provider Second Line Business Practice Location Address:
500 PARK ST
Provider Business Practice Location Address City Name:
BLYTHEVILLE
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72315-2424
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
870-860-7074
Provider Business Practice Location Address Fax Number:
870-201-4196
Provider Enumeration Date:
01/10/2020