NPI 1134375322
Derek Lee Masingale
Practice location
- Address
- 2 Mills Ln, Bella Vista, AR 72714-6329
- Phone
- (479) 659-1872
Registered specialties
Surgical Technologist
Primary
Registry record
- NPI
- 1134375322
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 7 Aug 2008
- Record last updated
- 7 Aug 2008
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.