Us Gynecologic Oncology Associates, PLLC
Obstetrics & Gynecology in Springdale, AR. Organization (NPI-2).
NPI number1689986606
StatusActive
Last updated in NPPESOct 5, 2011
Details
- NPI
- 1689986606
- Entity type
- Organization (NPI-2)
- Legal business name
- Us Gynecologic Oncology Associates, PLLC
- Organization subpart
- No
- Enumeration date
- Jul 7, 2010
- Last updated
- Oct 5, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | E6436 | AR | Yes |
Other names
- Ivy Women'S Cancer Care (Doing Business As)
Practice location
5501 Willow Creek DrSuite 202
Springdale, AR 72762-8704
Phone 479-443-4500 · Fax 479-443-4502
Mailing address
5501 Willow Creek DrSuite 202
Springdale, AR 72762-8704
Phone 479-443-4500 · Fax 479-443-4502
Authorized official
Joseph Ivy
Owner
4794434500
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