Organization
BENTON NEUROCARE INC.
Active
Organization
BENTON NEUROCARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMAD AL-KHATIB M.D. (PRESIDENT)
(479) 254-9761
Entity
Organization
Contact information
Practice address
811 SE 28TH ST STE 5, BENTONVILLE, AR 72712-4294
(479) 254-9761
(479) 254-9732
Mailing address
811 SE 28TH ST STE 5, BENTONVILLE, AR 72712-4294
(479) 254-9761
(479) 254-9732
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/13/2008
Last updated
02/13/2008
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