NPI 1013206747

Amal K Dudar, PAC

Practitioner Physician Assistant Bentonville, AR

Practice location

Address: 3101 SE 14th St, Bentonville, AR 72712-4900
Phone: (479) 250-1053
Fax: (479) 250-0923
Mailing address: PO Box 775641, Chicago, IL 60677-5641

Registered specialties (5)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA-1314 (AR)

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Registry record

NPI: 1013206747
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Apr 2011
Record last updated: 6 Jan 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.