Organization
COULTER TECHNICAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON L RIGGAN CPC (ACCT REPRESENTATIVE)
(501) 860-6130
Entity
Organization
Contact information
Practice address
2101 CONGO, SUITE 900, BENTON, AR 72015-2750
(501) 860-6130
(501) 860-6054
Mailing address
PO BOX 8694, HOT SPRINGS VILLAGE, AR 71910-8694
(501) 860-6130
(501) 860-6054
Taxonomy
Speciality
Code
Description
License number
State
2472E0500X
EEG Technician
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E8099
ELECTRONIC SUBMITTER
AR
Enumeration date
01/29/2007
Last updated
08/13/2007
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