Bentonville Radiology Consultants, Pllc in Fayetteville - Diagnostic Radiology

Bentonville Radiology Consultants, Pllc - NPI 1003882747

Bentonville Radiology Consultants, Pllc is a Diagnostic Radiology in Fayetteville, Arkansas. Bentonville Radiology Consultants, Pllc practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Bentonville Radiology Consultants, Pllc is 1003882747. The last update date is 2012-05-24.

Bentonville Radiology Consultants, Pllc's current location address is Po Box 1029, Fayetteville, Arkansas. You can contact this provider via phone number 9183921706 and fax number 9186646120. The mailing address for Bentonville Radiology Consultants, Pllc is Po Box 1029, Fayetteville, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Bentonville Radiology Consultants, Pllc
Address Po Box 1029, Fayetteville, Arkansas
Phone Number 9183921706
Fax Number 9186646120
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MANAGING P
Authorized Official Name Jong G David
Credentials MD
Telephone Number 9183921706

NPI Number Detail

NPI Number 1003882747
Provider Enumeration Date 2006-02-23
Last Updated Date 2012-05-24

Provider Mailing Address Detail

Address Po Box 1029
City Fayetteville
State Arkansas (AR)
Post Code 727021029
Phone Number 9183921706
Fax Number 9186646120

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5F285 AR ARK. BCBS
156414002 AR --

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FAQs about Bentonville Radiology Consultants, Pllc

What is the unique identifier code issued to Bentonville Radiology Consultants, Pllc by the Centers for Medicare & Medicaid Services (CMS)?

The Bentonville Radiology Consultants, Pllc has been assigned the NPI (National Provider Identifier) 1003882747. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Bentonville Radiology Consultants, Pllc's physical address?

The Bentonville Radiology Consultants, Pllc is physically located at Po Box 1029, in the city of Fayetteville, AR, with the postal code 727021029.

What is Bentonville Radiology Consultants, Pllc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Bentonville Radiology Consultants, Pllc is Diagnostic Radiology, and the corresponding taxonomy classification code for this specialized field is 2085R0202X.

On what date did the Bentonville Radiology Consultants, Pllc receive its 1003882747 assignment from the Centers for Medicare & Medicaid Services?

The Bentonville Radiology Consultants, Pllc was assigned its 1003882747 by the Centers for Medicare & Medicaid Services on 2006-02-23.

As of what date was the information pertaining to Bentonville Radiology Consultants, Pllc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Bentonville Radiology Consultants, Pllc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-05-24.

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