NPI | 1013731397 |
---|---|
Doing Business As | BENTONVILLE ENDOSCOPY CENTER |
Entity Type | Organization |
Authorized Contact | KELLY ROUVALDT Director Of As Cs 817-893-2381 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2024-11-13 |
Last Update Date | 2024-11-13 |