Organization
BETHESDA HEALTH AND WELLNESS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN EZARD JOHNSON (CFO)
(501) 666-6100
Entity
Organization
Contact information
Practice address
500 S UNIVERSITY AVE, SUITE 515, LITTLE ROCK, AR 72205-5302
(501) 666-6100
(501) 666-6107
Mailing address
500 S UNIVERSITY AVE, SUITE 515, LITTLE ROCK, AR 72205-5302
(501) 666-6100
(501) 666-6107
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/16/2012
Last updated
07/16/2012
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