Bentonville Endoscopy Center, LLC
NPI #1013731397 in Bentonville, Arkansas
Provider Information
- NPI Number
- 1013731397
- Entity Type
- Organization
- Organization Name
- Bentonville Endoscopy Center, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- THE GI ALLIANCE ACQUISITION, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Nov 13, 2024
- Last Updated
- Nov 13, 2024
Practice Location
- Address
- 3700 SE DODSON ROAD
- Address 2
- SUITE #4
- City
- Bentonville
- State
- Arkansas
- ZIP Code
- 72712
- Phone
- (817) 893-2381
Authorized Official
- Name
- KELLY ROUVALDT
- Title
- DIRECTOR OF ASCS
- Phone
- (817) 893-2381
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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