Organization
SILOAM SPRINGS MEMORIAL HOSPITAL
Active
Organization
SILOAM SPRINGS MEMORIAL HOSPITAL
Active
Other names
SSMH RADIOLOGY GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHY JANE WOODRUFF (PFS DIRECTOR)
(479) 549-2434
Entity
Organization
Contact information
Practice address
205 E JEFFERSON ST, SILOAM SPRINGS, AR 72761-3629
(479) 524-4141
(479) 549-2674
Mailing address
205 E JEFFERSON ST, SILOAM SPRINGS, AR 72761-3629
(479) 524-4141
(479) 549-2674
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
54
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9703
D/B/A CERTIFICATE
AR
Enumeration date
02/21/2008
Last updated
02/21/2008
Update your record
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