NPI 1295590453
Core Med PLLC
Practice location
- Address
- 902b S Walton Blvd STE 18, Bentonville, AR 72712-5770
- Phone
- (479) 876-8628
- Fax
- (479) 876-8643
Authorised official
- Name
- Ryan Hasenclever
- Title
- Owner
- Phone
- (479) 876-8628
Registered specialties
General Practice Physician
Primary
Registry record
- NPI
- 1295590453
- Entity type
- Organization
- NPI issued
- 16 Feb 2024
- Record last updated
- 23 May 2025
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.