Organization
BENTONVILLE MEDICAL ARTS PLLC
Active
Other names
Lance L Hamilton M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE LEE HAMILTON M.D. (OWNER)
(479) 414-6283
Entity
Organization
Contact information
Practice address
2618 SE J STREET, STE 12, BENTONVILLE, AR 72712
(479) 715-6505
(479) 340-0015
Mailing address
2618 SE J STREET, STE 12, BENTONVILLE, AR 72712
(479) 715-6505
(479) 340-0015
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N8166
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100125440A
—
OK
05
—
121148801
—
AR
Enumeration date
01/22/2016
Last updated
08/16/2016
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