Organization
MOBILE DYSPHAGIA IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY ERIC PAYNE RT(R) (MEMBER)
(479) 253-4430
Entity
Organization
Contact information
Practice address
806 CRESTWOOD ST, SPRINGDALE, AR 72762-5119
(479) 253-4430
Mailing address
806 CRESTWOOD ST, SPRINGDALE, AR 72762-5119
(479) 253-4430
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
RTL6981
AR
Other
Enumeration date
06/19/2015
Last updated
06/19/2015
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