Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Great River Pediatric Clinic

Organization Pediatrics Physician · NPI 1467586131

Great River Pediatric Clinic provides Pediatrics Physician services in Blytheville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2007.

Licensed in
AR
In the registry since
2007

Practice location Address checks out

1521 N 10th St Ste F
Blytheville, AR 72315-1405
Phone: (870) 780-6832
Fax: (870) 780-6919
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence E-4133 (AR)

Record details

NPI number1467586131
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Benjamin Asafo-Boakye — Pediatrician · (870) 780-6832
NPI enumeratedMarch 15, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1521 N 10th St, Ste F, Blytheville, AR 72315-1405

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