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Organization
WASHINGTON REGIONAL MEDICAL SYSTEM
Active
Organization
WASHINGTON REGIONAL MEDICAL SYSTEM
Active
Other names
Shiloh Clinic Washington Regional
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM L. BRADLEY (CEO)
(479) 463-5007
Entity
Organization
Contact information
Practice address
513 N SHILOH ST, SPRINGDALE, AR 72764-3343
(479) 419-9902
(479) 419-9950
Mailing address
PO BOX 550, LOWELL, AR 72745-0550
(479) 463-7775
(479) 463-7187
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/26/2013
Last updated
08/05/2013
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