Organization
US GYNECOLOGIC ONCOLOGY ASSOCIATES, PLLC
Active
Other names
Ivy Women's Cancer Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH IVY M.D. (OWNER)
(479) 443-4500
Entity
Organization
Contact information
Practice address
5501 WILLOW CREEK DR, SUITE 202, SPRINGDALE, AR 72762-8704
(479) 443-4500
(479) 443-4502
Mailing address
5501 WILLOW CREEK DR, SUITE 202, SPRINGDALE, AR 72762-8704
(479) 443-4500
(479) 443-4502
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
E6436
AR
Other
Enumeration date
07/07/2010
Last updated
10/05/2011
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