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Organization

BATESVILLE CARDIOLOGY PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARTHA LYNN SIMMONS (OFFICE MANAGER)
(870) 793-7519
Entity
Organization

Contact information

Practice address
1695 HARRISON ST, BATESVILLE, AR 72501
(870) 793-7519
(870) 793-8146
Mailing address
16 HOSPITAL CIR STE A, BATESVILLE, AR 72501-7343
(870) 793-7519
(870) 793-8146

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5608
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102776002
AR
Enumeration date
04/18/2006
Last updated
10/22/2010
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