| Washington Regional Diagnostic Clinic | |
|
3000 Nw A St Bentonville AR 72712-3985 | |
| (479) 268-3050 | |
| (479) 268-3061 |
| Full Name | Washington Regional Diagnostic Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 3000 Nw A St, Bentonville, Arkansas |
| Authorized Official Name and Position | Daniel R Eckels (SENIOR VP/CFO) |
| Authorized Official Contact | 4794636026 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Washington Regional Diagnostic Clinic 12 E Appleby Rd Clinic Administration Fayetteville AR 72703-3901 Ph: (479) 463-1704 | Washington Regional Diagnostic Clinic 3000 Nw A St Bentonville AR 72712-3985 Ph: (479) 268-3050 |
| NPI Number | 1598715302 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 03/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598715302 | NPI | - | NPPES |
| 135445004 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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