Epoch-nwa Pllc | |
5100 W Pauline Whitaker Pkwy Ste. 110 Rogers AR 72758-8335 | |
(479) 202-6658 | |
Not Available |
Full Name | Epoch-nwa Pllc |
---|---|
Speciality | General Practice |
Location | 5100 W Pauline Whitaker Pkwy, Rogers, Arkansas |
Authorized Official Name and Position | Adam Cole (AUTHORIZED OFFICIAL AND OWNER) |
Authorized Official Contact | 3188345225 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Epoch-nwa Pllc Po Box 479 Bryant AR 72089-0479 Ph: (501) 246-3423 | Epoch-nwa Pllc 5100 W Pauline Whitaker Pkwy Ste. 110 Rogers AR 72758-8335 Ph: (479) 202-6658 |
NPI Number | 1558897595 |
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Provider Enumeration Date | 05/11/2017 |
Last Update Date | 02/12/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558897595 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
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