Organization
RUSSELLVILLE CARDIOLOGY CONSULTANTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAI YUAN WANG MD (OWNER)
(479) 968-4311
Entity
Organization
Contact information
Practice address
106 S INGLEWOOD AVE, RUSSELLVILLE, AR 72801-3353
(479) 968-4311
(479) 968-4399
Mailing address
106 S INGLEWOOD AVE, RUSSELLVILLE, AR 72801-3353
(479) 968-4311
(479) 968-4399
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
E5291
AR
Other
Enumeration date
03/02/2009
Last updated
03/13/2009
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