Core Med Pllc
NPI #1295590453 in Bentonville, Arkansas
Provider Information
- NPI Number
- 1295590453
- Entity Type
- Organization
- Organization Name
- Core Med Pllc
- Primary Specialty
- General Practice
- Enumeration Date
- Feb 16, 2024
- Last Updated
- May 23, 2025
Practice Location
- Address
- 902B S WALTON BLVD STE 18
- City
- Bentonville
- State
- Arkansas
- ZIP Code
- 72712-5770
- Phone
- (479) 876-8628
Authorized Official
- Name
- DR. RYAN HASENCLEVER
- Title
- OWNER
- Phone
- (479) 876-8628
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
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