Organization
NORTHWEST ARKANSAS RENAL DIALYSIS ASSOCIATES
Active
Other names
Regional Kidney Center Bentonville Dialysis Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED SMARDO MD (BUISNESS OWNER)
(479) 443-6688
Entity
Organization
Contact information
Practice address
1104 SE 30TH ST, BENTONVILLE, AR 72712-4290
(479) 657-6220
(479) 657-6229
Mailing address
509 E MILLSAP RD, SUITE 111, FAYETTEVILLE, AR 72703-4067
(479) 443-6688
(479) 527-9917
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
E2362
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12540
BCBS
AR
Enumeration date
08/31/2006
Last updated
03/19/2008
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