Organization
MID-CITIES AMBULATORY SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH WADDELL RN (ED OF SURGICAL SERVICES)
(501) 766-1065
Entity
Organization
Contact information
Practice address
2902 MID CITIES DR, BENTONVILLE, AR 72712-4020
(844) 215-0731
(888) 630-8885
Mailing address
108 N SHACKLEFORD RD, LITTLE ROCK, AR 72211-2840
(844) 215-0731
(501) 404-7789
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/21/2021
Last updated
01/18/2022
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