Individual
DR. RICHARD VANGROUW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16 HOSPITAL CIRCLE STE A, BATESVILLE, AR 72501
(870) 793-7519
(870) 793-8146
Mailing address
16 HOSPITAL CIRCLE STE A, BATESVILLE, AR 72501
(870) 793-7519
(870) 793-8146
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
C-5608
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101504001
—
AR
01
—
554047109
MEDICARE ID UNSPECIFIED
AR
Enumeration date
11/07/2005
Last updated
02/16/2017
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