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

Baxter Regional Center for Integrative Medicine, LLC

Organization Family Medicine Physician · NPI 1922475045

Baxter Regional Center for Integrative Medicine, LLC is a Family Medicine Physician in Mountain Home, Arkansas. Licensed in Arkansas. Registered with an NPI since 2015.

Licensed in
AR
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

610 Broadmoor Dr
Mountain Home, AR 72653-2903
Phone: (870) 508-7530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence E2090 (AR)

Record details

NPI number1922475045
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ron Peterson — Manager · (870) 508-1018
NPI enumeratedAugust 24, 2015
Last updated in NPPESAugust 24, 2015
Mailing address610 Broadmoor Dr, Mountain Home, AR 72653-2903

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