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23251 Interstate 30 S, Bryant, AR 72022-2571 | |
(501) 944-8798 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Audiologist |
Location | 23251 Interstate 30 S, Bryant, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548742240 | NPI | - | NPPES |
NA | Other | NA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | A419 (Arkansas) | Primary |
Provider Name | Danielle J Henry |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1447709274 PECOS PAC ID: 3577840719 Enrollment ID: I20170426000495 |
Mailing Address | Practice Location Address |
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3850 Serenity St, Springdale, AR 72764-6521 Ph: (501) 944-8798 | 23251 Interstate 30 S, Bryant, AR 72022-2571 Ph: (501) 944-8798 |
Rebecca J Rusnak, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 2305 Springhill Rd, Suite 8, Bryant, AR 72019 Phone: 501-943-3214 |