NPI 1982095139
Fossil Medical LLC
Practice location
- Address
- 2800 South 2nd Street, Suite D, Cabot, AR 72023-7025
- Phone
- (501) 286-6019
- Fax
- (501) 286-6021
Authorised official
- Name
- John C Balenko
- Title
- President
- Phone
- (501) 286-6019
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1982095139
- Entity type
- Organization
- NPI issued
- 10 Feb 2015
- Record last updated
- 10 Feb 2015
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.