Individual
DR. HOLLI BETH BAGWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2601 GENE GEORGE BLVD, SPRINGDALE, AR 72762
(479) 725-6977
(479) 725-6577
Mailing address
1 CHILDRENS WAY # 844, LITTLE ROCK, AR 72202-3500
(501) 364-2090
(501) 364-3929
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
2014025044
MO
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
E-7049
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200016157
—
MO
05
—
200701360A
—
OK
05
—
230539003
—
AR
Enumeration date
05/13/2008
Last updated
11/22/2024
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