NORTHWEST ARKANSAS IMMUNIZATION

BENTONVILLE, AR
NPI1386944791
Entity TypeOrganization
Authorized ContactKIMBERLY L CADLE
Authorized Officia Owner
479-273-5437
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
Enumeration Date2010-11-01
Last Update Date2010-11-09
Business Address
NORTHWEST ARKANSAS IMMUNIZATION
2719 SE I ST
BENTONVILLE, AR 72712-3996
Phone number: 479-273-5437
Mailing Address
NORTHWEST ARKANSAS IMMUNIZATION
PO BOX 9178
RUSSELLVILLE, AR 72811-9178
Phone number: 479-968-4273
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