Provider Demographics
NPI:1912158619
Name:MEDI-QUICK WALK-IN CLINIC, P.A.
Entity Type:Organization
Organization Name:MEDI-QUICK WALK-IN CLINIC, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF MEDICINE
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:SLOAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-932-5740
Mailing Address - Street 1:PO BOX 119
Mailing Address - Street 2:
Mailing Address - City:BONO
Mailing Address - State:AR
Mailing Address - Zip Code:72416-0119
Mailing Address - Country:US
Mailing Address - Phone:870-932-8600
Mailing Address - Fax:870-932-8601
Practice Address - Street 1:10144 HIGHWAY 63 NORTH
Practice Address - Street 2:SUITE A
Practice Address - City:BONO
Practice Address - State:AR
Practice Address - Zip Code:72416
Practice Address - Country:US
Practice Address - Phone:870-932-8600
Practice Address - Fax:870-932-8601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-01
Last Update Date:2008-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-4047261QP2300X
ARE-4046261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care