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

Med79

Organization Family Medicine Physician · NPI 1356117626

Med79 is a Family Medicine Physician in Pine Bluff, Arkansas. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

2304 W 29th Ave
Pine Bluff, AR 71603-5005
Phone: (501) 804-5628
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1356117626
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher McDaniel — Ceo · (501) 804-5628
NPI enumeratedNovember 28, 2023
Last updated in NPPESNovember 28, 2023
Certification dateNovember 28, 2023
Mailing address3805 Winters Pl, Pine Bluff, AR 71603-6413

Other providers in Pine Bluff