NPI 1003882747
Bentonville Radiology Consultants, PLLC
Practice location
- Address
- 3000 Medical Center Pkwy, Bentonville, AR 72712-3217
- Phone
- (479) 553-1000
- Fax
- (918) 664-6120
- Mailing address
- PO Box 1029, Fayetteville, AR 72702-1029
Authorised official
- Name
- David G Jong
- Title
- Managing Partner
- Phone
- (918) 392-1706
Registered specialties
Diagnostic Radiology Physician
Primary
Registry record
- NPI
- 1003882747
- Entity type
- Organization
- NPI issued
- 23 Feb 2006
- Record last updated
- 24 May 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.