Ubben Dermatology Clinic

NPI #1194776906 in Bella Vista, Arkansas

Provider Information

NPI Number: 1194776906
Entity Type: Organization
Organization Name: Ubben Dermatology Clinic
Primary Specialty: Specialist
Enumeration Date: May 15, 2006
Last Updated: May 12, 2011

Practice Location

Address: 5 CUNNINGHAM COR
City: Bella Vista
State: Arkansas
ZIP Code: 72714-3520
Phone: (479) 855-1247

Authorized Official

Name: KENNETH L UBBEN, M.D.
Title: OWNER
Phone: (479) 855-1247

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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