| Enrique Cubillo, MD | |
|
3205 W Main St, Russellville, AR 72801-2301 | |
| (479) 968-8279 | |
| (479) 968-4331 |
| Full Name | Enrique Cubillo |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 3205 W Main St, Russellville, Arkansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033125901 | NPI | - | NPPES |
| BCBS | Other | AR | BCBS PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | E2622 (Arkansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Enrique Cubillo, MD 3205 West Main, P.o. Box 9178, Rusellville, AR 72811 Ph: (479) 968-8279 | Enrique Cubillo, MD 3205 W Main St, Russellville, AR 72801-2301 Ph: (479) 968-8279 |
Dr. Darrell Louie Speed, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1808 W Main St, Russellville, AR 72801 Phone: 479-964-9118 Fax: 479-964-9491 | |
Ashley L Burnham, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3301 W Main Pl, Russellville, AR 72801 Phone: 479-968-7930 Fax: 479-968-1673 | |
Douglas Kerin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3301 W Main Pl, Russellville, AR 72801 Phone: 479-968-7930 Fax: 479-968-1673 | |
Jeffrey Hale, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3301 W Main Pl, Russellville, AR 72801 Phone: 479-968-7930 Fax: 479-968-1673 | |
Daniel E Magill, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3301 W Main Pl, Russellville, AR 72801 Phone: 479-968-7930 Fax: 479-968-1673 | |
James Cherry, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3205 West Main, Russellville, AR 72801 Phone: 479-968-8279 Fax: 479-968-4331 |