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 is a Pediatrics Physician 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

Other providers in Blytheville