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
200 S 20TH ST STE C, ROGERS, AR 72758-1100
(479) 636-9669
(479) 636-0743
Mailing address
200 S 20TH ST STE C, ROGERS, AR 72758-1100
(479) 636-9669
(479) 636-0743
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
07/19/2013
Last updated
04/04/2018
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