| Platinum Health & Wellness | |
|
808 S 52nd St Suite 201 Rogers AR 72758-8602 | |
| (479) 319-6009 | |
| (479) 319-6002 |
| Full Name | Platinum Health & Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 808 S 52nd St, Rogers, Arkansas |
| Authorized Official Name and Position | Stuart J Benson (PHYSICIAN) |
| Authorized Official Contact | 4795319300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Platinum Health & Wellness 808 S 52nd St Suite 201 Rogers AR 72758-8602 Ph: (479) 319-6009 | Platinum Health & Wellness 808 S 52nd St Suite 201 Rogers AR 72758-8602 Ph: (479) 319-6009 |
| NPI Number | 1184074593 |
|---|---|
| Provider Enumeration Date | 06/16/2016 |
| Last Update Date | 06/16/2016 |
| Medicare PECOS PAC ID | 6507159530 |
|---|---|
| Medicare Enrollment ID | O20160727002663 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184074593 | NPI | - | NPPES |
| 118662003 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | N8003 (Arkansas) | Primary |
| Provider Name | Stuart J Benson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629028584 PECOS PAC ID: 9537284187 Enrollment ID: I20100920000404 |
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