Organization
WASHINGTON REGIONAL MEDICAL SYSTEM
Active
Other names
Washington Regional Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAN ECKLES (CFO)
(479) 463-7775
Entity
Organization
Contact information
Practice address
3215 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703-4424
(479) 968-8279
(479) 968-4331
Mailing address
PO BOX 550, LOWELL, AR 72745-0550
(479) 463-7775
(479) 463-7187
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155590002
—
AR
Enumeration date
07/22/2008
Last updated
05/13/2015
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