Basic Information
Provider Information
NPI: 1689645350
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARMSTRONG
FirstName: VICTOR
MiddleName: M.
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 550
Address2:  
City: LOWELL
State: AR
PostalCode: 727450550
CountryCode: US
TelephoneNumber: 4794637775
FaxNumber: 4794637187
Practice Location
Address1: 602 N PINE ST
Address2:  
City: HARRISON
State: AR
PostalCode: 726012842
CountryCode: US
TelephoneNumber: 8707434242
FaxNumber: 8707434243
Other Information
ProviderEnumerationDate: 01/30/2006
LastUpdateDate: 09/07/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XE-3884ARY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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