Organization
ANESTHESIA SERVICES OF BENTON COUNTY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY R UMBARGER MD (PRESIDENT)
(913) 642-4900
Entity
Organization
Contact information
Practice address
2710 RIFE MEDICAL LN, ROGERS, AR 72758-1452
(913) 642-4900
(913) 381-0979
Mailing address
PO BOX 507, LOWELL, AR 72745-0507
(913) 642-4900
(913) 381-0979
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148919002
—
AR
05
—
507313203
—
MO
Enumeration date
11/29/2006
Last updated
12/27/2016
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