Organization
BAXTER REGIONAL ENTERPRISES, LLC
Active
Other names
Baxter Health Urology Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA HENRY (CFO)
(870) 508-1003
Entity
Organization
Contact information
Practice address
15 GREEN VALLEY DR STE 100, MOUNTAIN HOME, AR 72653-8102
(870) 701-0490
(870) 701-0491
Mailing address
15 GREEN VALLEY DR, MOUNTAIN HOME, AR 72653-8102
(870) 701-0490
(870) 701-0491
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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