Laverne Ruth Blackwell in Fayetteville - Diagnostic Radiology
Laverne Ruth Blackwell - NPI 1962416594
Laverne Ruth Blackwell is a Diagnostic Radiology in Fayetteville, Arkansas. Laverne Ruth Blackwell practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Laverne Ruth Blackwell is 1962416594. The last update date is 2007-07-08.
Laverne Ruth Blackwell's current location address is 1100 N College Ave, Fayetteville, Arkansas. You can contact this provider via phone number 4794434301. The mailing address for Laverne Ruth Blackwell is 1100 N College Ave, Fayetteville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laverne Ruth Blackwell |
|---|---|
| Address | 1100 N College Ave, Fayetteville, Arkansas |
| Phone Number | 4794434301 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1962416594 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1100 N College Ave |
|---|---|
| City | Fayetteville |
| State | Arkansas (AR) |
| Post Code | 727031944 |
| Phone Number | 4794434301 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | A40527 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Laverne Ruth Blackwell?
The Laverne Ruth Blackwell has been issued the NPI (National Provider Identifier) 1962416594 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Laverne Ruth Blackwell is physically located?
The Laverne Ruth Blackwell is physically situated at the following address: 1100 N College Ave, Fayetteville, AR, 727031944.
What is the Laverne Ruth Blackwell's area of specialization and corresponding taxonomy classification?
The Laverne Ruth Blackwell's specialty field is Diagnostic Radiology, and it falls under the taxonomy code 2085R0202X, which categorizes healthcare providers based on their specialties.
On what date did the Laverne Ruth Blackwell receive the assignment of its 1962416594 from the Centers for Medicare & Medicaid Services?
The Laverne Ruth Blackwell was issued its 1962416594 by the Centers for Medicare & Medicaid Services on 2006-07-28.
When was the information related to Laverne Ruth Blackwell most recently updated or refreshed?
The details pertaining to the Laverne Ruth Blackwell, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.