Individual
TINA KAY MERRITT MEINHOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1900 S WALTON BLVD, BENTONVILLE, AR 72712-6755
(479) 254-9777
(479) 254-9729
Mailing address
1900 S WALTON BLVD, BENTONVILLE, AR 72712-6755
(479) 254-9777
(479) 254-9729
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
E2999
AR
207KA0200X
Allergy Physician
Primary
E2999
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149043001
—
AR
Enumeration date
06/15/2006
Last updated
06/07/2025
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