Ozark Regional Vein Center, Llc

NPI 1295089605 - Radiology - 2085R0202X

NPI Details
NPI 1295089605
Enumeration Date 11/07/2012
Last Updated 11/07/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name RONDALL KEVIN RONDALL
Position OWNER
Phone (479) 464-8346
Fax
Practice Location
5507 WALSH LANE
SUITE 101
ROGERS AR, 75758-9007, US
Phone (479) 464-8346
Fax
Business Location
5507 WALSH LANE
SUITE 101
ROGERS AR, 75758-9007, US
Phone (479) 464-8346
Fax
Toxanomy
Taxonomy Code 2085R0202X
License State Arkansas
License Number C-8120
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According to our database, Ozark Regional Vein Center, Llc NPI is 1295089605, taxonomy code is 2085R0202X and license number is C-8120, license state is located at Arkansas. Ozark Regional Vein Center, Llc physically located at 5507 Walsh Lane, Rogers AR, 75758-9007. NPI Number 1033115704 has the healthcare provider type.

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1295089605 NPI number is provided on an as is basis without warranty of any kind. 1295089605 is maintained by the National Plan & Provider Enumeration System. The contents of Ozark Regional Vein Center, Llc are for informational purposes only.