Individual
DEREK LEE MASINGALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 MILLS LN, BELLA VISTA, AR 72714-6329
(479) 659-1872
Mailing address
2 MILLS LN, BELLA VISTA, AR 72714-6329
(479) 659-1872
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
08/07/2008
Last updated
08/07/2008
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