Organization
ROBERT R. HULL, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL NICHOLE SEALS CPC (BUSINESS DIRECTOR)
(479) 636-0171
Entity
Organization
Contact information
Practice address
1301 W PERSIMMON ST, ROGERS, AR 72756-3345
(479) 636-0171
Mailing address
1301 W PERSIMMON ST, ROGERS, AR 72756-3345
(479) 636-0171
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
R2036
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101086001
—
AR
Enumeration date
12/09/2013
Last updated
12/09/2013
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