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
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