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Organization
LIFESPRING WOMEN'S HEALTHCARE PA
Active
Organization
LIFESPRING WOMEN'S HEALTHCARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J TODD HANNAH M.D. (OWNER)
(479) 271-0005
Entity
Organization
Contact information
Practice address
1200 SE 28TH ST, 2, BENTONVILLE, AR 72712-3881
(479) 271-0005
(479) 273-1427
Mailing address
1200 SE 28TH ST, 2, BENTONVILLE, AR 72712-3881
(479) 271-0005
(473) 273-1427
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162837002
—
AR
01
—
5F652
BCBS
AR
Enumeration date
10/06/2006
Last updated
07/08/2013
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