Organization
NWA MD CONSULTING PLLC
Active
Other names
Crossroads Telemedicine PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE BOHANNAN (OFFICE MANAGER)
(479) 845-7000
Entity
Organization
Contact information
Practice address
199 N 34TH ST, ROGERS, AR 72756-0304
(479) 845-7000
Mailing address
PO BOX 1784, BENTONVILLE, AR 72712-1784
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/24/2020
Last updated
11/30/2021
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