Organization
WHITE RIVER HEALTH SYSTEM, INC.
Active
Other names
WHITE RIVER HEALTH NEUROLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNA BAXTER (PROVIDER ENROLLMENT)
(870) 262-5545
Entity
Organization
Contact information
Practice address
1699 HARRISON ST, SUITE D, BATESVILLE, AR 72501-7302
(870) 793-5200
(870) 793-5277
Mailing address
1699 HARRISON ST STE D, BATESVILLE, AR 72501-7318
(870) 262-5545
(870) 262-3253
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152070002
—
AR
Enumeration date
02/01/2006
Last updated
04/29/2024
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