Organization
CORE MED PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN HASENCLEVER (OWNER)
(479) 876-8628
Entity
Organization
Contact information
Practice address
902B S WALTON BLVD STE 18, BENTONVILLE, AR 72712-5770
(479) 876-8628
(479) 876-8643
Mailing address
902B S WALTON BLVD STE 18, BENTONVILLE, AR 72712-5770
(479) 876-8628
(479) 876-8643
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/16/2024
Last updated
05/23/2025
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