Organization
PRO PHYSICIANS ARKANSAS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON D TRYGGESTAD (DIRECTOR/OFFICER)
(972) 573-4611
Entity
Organization
Contact information
Practice address
2526 PINNACLE HILLS PKWY, ROGERS, AR 72758-8939
(479) 271-8900
(479) 271-8950
Mailing address
600 E JOHN CARPENTER FWY, SUITE 130, IRVING, TX 75062-3990
(972) 573-4611
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
C6152
AR
Other
Enumeration date
01/30/2012
Last updated
04/18/2012
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