Individual
PHILIP A CEDENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2900 MEDICAL CENTER PKWY STE 300, BENTONVILLE, AR 72712-3214
(479) 553-2250
(479) 553-2261
Mailing address
2900 MEDICAL CENTER PKWY STE 300, BENTONVILLE, AR 72712-3214
(479) 553-2250
(479) 553-2260
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0421713
KS
208600000X
Surgery Physician
Primary
E-7736
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100125180C
—
KS
Enumeration date
08/24/2006
Last updated
09/09/2020
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