Organization
OZARK REGIONAL VEIN CENTER, LLC
Active
Organization
OZARK REGIONAL VEIN CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONDALL KEVIN HANEY MD (OWNER)
(479) 464-8346
Entity
Organization
Contact information
Practice address
5433 W WALSH LN STE 101, ROGERS, AR 72758-8946
(479) 464-8346
Mailing address
PO BOX 667, WICHITA, KS 67201-0667
(479) 464-8346
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
C-8120
AR
Other
Enumeration date
11/07/2012
Last updated
07/23/2024
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