Individual
DR. RALPH CHRISTOPHER PANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3215 N NORTHHILLS BLVD, DEPARTMENT OF RADIOLOGY, FAYETTEVILLE, AR 72703-4424
(501) 291-1499
Mailing address
3215 N NORTHHILLS BLVD, DEPARTMENT OF RADIOLOGY, FAYETTEVILLE, AR 72703-4424
(501) 291-1499
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
E3928
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164704001
—
AR
01
—
P00398630
RAILROAD MEDICARE
AR
Enumeration date
04/23/2007
Last updated
07/08/2010
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