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MR. MICHEAL DOUGLAS CHARLTON APN

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1669758777

Individual Registrant:
MR. MICHEAL DOUGLAS CHARLTON APN
Gender: M
Sole Proprietor

Location and contact information for practice:
136 BLOCK ST  MARION, AR 72364-1956 US
Tel: 870-559-2314  Fax: 870-559-2392

Contact information for business:
136 BLOCK ST  MARION, AR 72364-1956 US
Tel: 870-559-2314  Fax: 870-559-2392

Registration Information:
NPI: 1669758777
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
ARA03688

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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