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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