Organization
CYRIL A RABEN MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY KAY RABEN (OFFICE ADMINISTRATOR)
(479) 442-4495
Entity
Organization
Contact information
Practice address
350 E MILLSAP RD, FAYETTEVILLE, AR 72703-4098
(479) 442-4495
(479) 442-8178
Mailing address
350 E MILLSAP RD, FAYETTEVILLE, AR 72703-4098
(479) 442-4495
(479) 442-8178
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
N7877
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5C794
BCBS
AR
Enumeration date
01/23/2007
Last updated
10/30/2007
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