| Pure Balance Of Nwa Pllc | |
|
3608 W Southern Hills Blvd Rogers AR 72758-8013 | |
| (479) 633-7052 | |
| Not Available |
| Full Name | Pure Balance Of Nwa Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3608 W Southern Hills Blvd, Rogers, Arkansas |
| Authorized Official Name and Position | Jacob Boydstun (OWNER) |
| Authorized Official Contact | 4327705923 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pure Balance Of Nwa Pllc 3608 W Southern Hills Blvd Rogers AR 72758-8013 Ph: (479) 633-7052 | Pure Balance Of Nwa Pllc 3608 W Southern Hills Blvd Rogers AR 72758-8013 Ph: (479) 633-7052 |
| NPI Number | 1073359931 |
|---|---|
| Provider Enumeration Date | 07/01/2024 |
| Last Update Date | 08/05/2024 |
| Certification Date | 07/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073359931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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