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NORTHWEST ARKANSAS IMMUNIZATION NPI 1386944791


NPI Information

NPI: 1386944791
Provider Name: NORTHWEST ARKANSAS IMMUNIZATION
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
2719 SE I ST
BENTONVILLE, AR
ZIP 72712
Phone: (479) 273-5437
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NORTHWEST ARKANSAS IMMUNIZATION is a pediatrics in Bentonville, AR. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. NORTHWEST ARKANSAS IMMUNIZATION NPI is 1386944791. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2719 SE I ST
BENTONVILLE, AR
ZIP 72712-996
Phone: (479) 273-5437
Fax: (479) 273-9932

The provider's authorized official is Kimberly L Cadle .
The authorized official title is Authorized Officia-owner and has the following contact phone number (479) 273-5437.

The enumeration date for this NPI number is 11/1/2010 and was last updated on 11/9/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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