Organization
BENTON COUNTY UROLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ALLEN ZIMMERMAN MD, PHD (PRESIDENT/OWNER/PHYSICAN)
(479) 636-9669
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
174400000X
Specialist
Primary
E-4951
AR
Other
Enumeration date
03/03/2010
Last updated
09/03/2013
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