Organization
MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENNY J STOVER (VICE PRESIDENT-FINANCE)
(479) 338-2230
Entity
Organization
Contact information
Practice address
2100 S 54TH ST, ROGERS, AR 72758-8169
(479) 271-7077
(479) 271-7035
Mailing address
2100 S 54TH ST, ROGERS, AR 72758-8169
(479) 271-7077
(479) 271-7035
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
12/05/2014
Last updated
04/03/2018
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