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Organization
NWA MD CONSULTING PLLC
Active
Organization
NWA MD CONSULTING PLLC
Active
Other names
Crossroads Telemedicine PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE BOHANNAN (OFFICE MANAGER)
(479) 845-7000
Entity
Organization
Contact information
Practice address
199 N 34TH ST, ROGERS, AR 72756-0304
(479) 845-7000
Mailing address
PO BOX 1784, BENTONVILLE, AR 72712-1784
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/24/2020
Last updated
11/30/2021
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