Organization
MOUNTAIN HOME RADIOLOGY CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM L LANDRUM MD (PARTNER)
(870) 425-6322
Entity
Organization
Contact information
Practice address
624 HOSPITAL DR RAD DEPT., MOUNTAIN HOME, AR 72653-2955
(870) 508-1160
Mailing address
PO BOX 2008, MOUNTAIN HOME, AR 72654-2008
(870) 425-6322
(870) 424-5859
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101050002
—
AR
Enumeration date
04/24/2006
Last updated
04/23/2019
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