Organization
RADIOLOGY ASSOCIATES OF EL DORADO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA WILSON (BUSINESS MANAGER)
(870) 862-1577
Entity
Organization
Contact information
Practice address
700 W GROVE ST, EL DORADO, AR 71730-4416
(870) 862-1577
(870) 862-5916
Mailing address
611 THOMPSON AVE, P.O. BOX 506, EL DORADO, AR 71730-4557
(870) 862-1577
(870) 862-5916
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134938002
—
AR
Enumeration date
11/08/2006
Last updated
12/13/2013
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