Provider Demographics
NPI:1689645350
Name:ARMSTRONG, VICTOR M (DO)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:M
Last Name:ARMSTRONG
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:PO BOX 550
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:AR
Mailing Address - Zip Code:72745-0550
Mailing Address - Country:US
Mailing Address - Phone:479-463-7775
Mailing Address - Fax:479-463-7187
Practice Address - Street 1:602 N PINE ST
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:AR
Practice Address - Zip Code:72601-2842
Practice Address - Country:US
Practice Address - Phone:870-743-4242
Practice Address - Fax:870-743-4243
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2019-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-3884207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARI 31453Medicare UPIN
AR5N208Medicare ID - Type Unspecified