Organization
BAXTER COUNTY REGIONAL HOSPITAL INC.
Active
Other names
Baxter Regional Urology Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA HENRY (CFO)
(870) 508-1033
Entity
Organization
Contact information
Practice address
628 HOSPITAL DR, SUITE 3A, MOUNTAIN HOME, AR 72653-2953
(870) 508-6020
(870) 508-6025
Mailing address
628 HOSPITAL DR, SUITE 3A, MOUNTAIN HOME, AR 72653-2953
(870) 508-6020
(870) 508-6025
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
E4783
AR
Other
Enumeration date
03/11/2008
Last updated
10/03/2019
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