NPI 1982450706

Baxter Regional Enterprises, LLC

Organisation Urology Physician Mountain Home, AR

Practice location

Address: 15 Green Valley Dr STE 100, Mountain Home, AR 72653-8102
Phone: (870) 701-0490
Fax: (870) 701-0491
Mailing address: 15 Green Valley Dr, Mountain Home, AR 72653-8102

Authorised official

Name: Debra Henry
Title: Cfo
Phone: (870) 508-1003

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X

Other Urology providers in Arkansas →

Registry record

NPI: 1982450706
Entity type: Organization
NPI issued: 24 Apr 2024
Record last updated: 24 Apr 2024

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.