Organization
MENA CENTER FOR WOMENS HEALTH, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS BARRETT ROCHA MD (OWNER/PHYSICIAN)
(479) 394-2534
Entity
Organization
Contact information
Practice address
400 CRESTWOOD CIR STE P, MENA, AR 71953-5512
(479) 394-2534
(479) 394-7012
Mailing address
400 CRESTWOOD CIR STE P, MENA, AR 71953-5512
(479) 394-2534
(479) 394-7012
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
E2878
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143840001
—
AR
01
—
5L863
BLUECROSS NUMBER
AR
Enumeration date
09/20/2006
Last updated
09/02/2010
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