Organization
WASHINGTON REGIONAL MEDICAL SYSTEM
Active
Other names
Colon and Rectal Clinic - Washington Regional
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BRADLEY (CEO)
(479) 463-1000
Entity
Organization
Contact information
Practice address
203 S BLOOMINGTON ST, LOWELL, AR 72745-9490
(479) 770-0728
(479) 770-0712
Mailing address
203 S BLOOMINGTON ST, LOWELL, AR 72745-9490
(479) 770-0728
(479) 770-0712
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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