Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Declerk Family Medicine, PLLC

Organization Family Medicine Physician · NPI 1366354938

Declerk Family Medicine, PLLC provides Family Medicine Physician services in Rogers, Arkansas. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4305 S Pleasant Crossing Blvd Ste 103
Rogers, AR 72758-1347
Phone: (479) 302-1020
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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

Record details

NPI number1366354938
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Declerk — Manager · (479) 422-3647
NPI enumeratedSeptember 18, 2026
Last updated in NPPESSeptember 18, 2026
Certification dateSeptember 18, 2026
Mailing address2261 N Center St, Gentry, AR 72734-6022

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