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CHARLES WESLEY HIMMLER DO

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1750349858

Individual Registrant:
 CHARLES WESLEY HIMMLER DO
Gender: M
Sole Proprietor

Location and contact information for practice:
1159 MAIN STREET  VILONIA, AR 72173 US
Tel: 501-796-8484  Fax: 501-796-2453

Contact information for business:
PO BOX 359  VILONIA, AR 72173 US
Tel: 501-796-8484  Fax: 501-796-2453

Registration Information:
NPI: 1750349858
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
ARN7807

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
116681003AR05




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