Organization
EASTSIDE OB/GYN P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENNA MARIE ROE CPC (CODER)
(479) 484-5901
Entity
Organization
Contact information
Practice address
7001 ROGERS AVE, SUITE 502, FORT SMITH, AR 72903-4073
(479) 484-5901
Mailing address
7001 ROGERS AVE, SUITE 502, FORT SMITH, AR 72903-4073
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
06/10/2006
Last updated
03/20/2024
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