Dr Raymond Joshua Quilao, MD | |
1 Medical Park Dr, Benton, AR 72015-3353 | |
(501) 776-6000 | |
Not Available |
Full Name | Dr Raymond Joshua Quilao |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1 Medical Park Dr, Benton, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023647310 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | E-15354 (Arkansas) | Primary |
Entity Name | Southeastern Emergency Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050418001201 |
Mailing Address | Practice Location Address |
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Dr Raymond Joshua Quilao, MD 1 Medical Park Dr, Benton, AR 72015-3353 Ph: (501) 776-6000 | Dr Raymond Joshua Quilao, MD 1 Medical Park Dr, Benton, AR 72015-3353 Ph: (501) 776-6000 |
Carter Dalton, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2909 Military Rd, Benton, AR 72015 Phone: 501-315-6500 Fax: 501-315-0006 | |
Gary Brian Mccallum, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Dr, Saline Memorial Hospital, Benton, AR 72205 Phone: 501-626-9478 | |
Dr. James Aaron Simmons, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Medical Park Dr, Benton, AR 72015 Phone: 501-776-6000 | |
Lena Rose, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2909 Military Rd, Benton, AR 72015 Phone: 501-315-6500 Fax: 501-315-0006 | |
Gayle Gordon, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2909 Military Rd, Benton, AR 72015 Phone: 501-778-4674 Fax: 501-778-4694 | |
David Swindle, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2909 Military Rd, Benton, AR 72015 Phone: 501-315-6500 Fax: 501-315-0006 |