Organization
TRIMANA LLC
Active
Other names
Via Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRRANNA M TODD BA (OWNER/OPERATOR)
(479) 301-8829
Entity
Organization
Contact information
Practice address
2875 E JOYCE BLVD, FAYETTEVILLE, AR 72703-4524
(479) 966-4999
(479) 966-4987
Mailing address
2875 E JOYCE BLVD, FAYETTEVILLE, AR 72703-4524
(479) 966-4999
(479) 966-4987
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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