Organization
SPARKS MEDICAL FOUNDATION
Active
Other names
The Women's Center
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA COX (CBO SUPPORT MANAGER)
(479) 709-7057
Entity
Organization
Contact information
Practice address
1500 DODSON AVE, STE 140, FORT SMITH, AR 72901-5182
(479) 709-1913
(479) 709-1998
Mailing address
PO BOX 2420, FORT SMITH, AR 72902-2420
(479) 709-7399
(479) 709-7053
Taxonomy
Speciality
Code
Description
License number
State
2471B0102X
Bone Densitometry Radiologic Technologist
Primary
RT2641
AR
2471M2300X
Mammography Radiologic Technologist
RT2641
AR
2471V0105X
Vascular Sonography Radiologic Technologist
RT2641
AR
Other
Enumeration date
05/04/2006
Last updated
11/01/2007
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