Organization
PLASTIC SURGERY CENTER OF NWA, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK KENDALL MD (OWNER)
(479) 464-9191
Entity
Organization
Contact information
Practice address
2900 MEDICAL CENTER PKWY, SUITE 220, BENTONVILLE, AR 72712-3204
(479) 464-9191
(479) 464-8840
Mailing address
2900 MEDICAL CENTER PKWY, SUITE 220, BENTONVILLE, AR 72712-3204
(479) 464-9191
(479) 464-8840
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
E3659
AR
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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