Individual
WILLIAM REYENGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3633 CENTRAL AVE, STE D, HOT SPRINGS, AR 71913-6404
(501) 623-6693
(501) 623-9403
Mailing address
3633 CENTRAL AVE, STE D, HOT SPRINGS, AR 71913-6404
(501) 623-6693
(501) 623-9403
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
E-9156
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216229001
—
AR
Enumeration date
04/06/2010
Last updated
11/16/2016
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