Provider Demographics
NPI:1407812803
Name:ALLBRIGHT, RITA K (MD)
Entity Type:Individual
Prefix:MRS
First Name:RITA
Middle Name:K
Last Name:ALLBRIGHT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 497
Mailing Address - Street 2:623 N 9TH ST
Mailing Address - City:AUGUSTA
Mailing Address - State:AR
Mailing Address - Zip Code:72006
Mailing Address - Country:US
Mailing Address - Phone:870-347-3300
Mailing Address - Fax:870-347-3492
Practice Address - Street 1:801 N EDMOND
Practice Address - Street 2:
Practice Address - City:MCCRORY
Practice Address - State:AR
Practice Address - Zip Code:72101
Practice Address - Country:US
Practice Address - Phone:870-731-5411
Practice Address - Fax:870-731-5431
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARE1793207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR140943001Medicaid
AR57297Medicare PIN
H14905Medicare UPIN
ARP00273236Medicare PIN