Organization
BREAST TREATMENT ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAWN I ROBERTS (PRACTICE MANAGER)
(479) 582-1000
Entity
Organization
Contact information
Practice address
1792 E JOYCE BLVD STE 1, FAYETTEVILLE, AR 72703-5255
(479) 582-1000
(479) 582-5724
Mailing address
1792 E JOYCE BLVD STE 1, FAYETTEVILLE, AR 72703-5255
(479) 582-1000
(479) 582-5724
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MC1480
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124294002
—
AR
Enumeration date
09/21/2007
Last updated
01/04/2019
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