Delta Wave LLC
NPI #1376779843 in Little Rock, Arkansas
Provider Information
- NPI Number
- 1376779843
- Entity Type
- Organization
- Organization Name
- Delta Wave LLC
- Primary Specialty
- Physiological Laboratory
- Enumeration Date
- Jun 10, 2009
- Last Updated
- Dec 15, 2009
Practice Location
- Address
- 1 INNWOOD CIR
- Address 2
- SUITE 102
- City
- Little Rock
- State
- Arkansas
- ZIP Code
- 72211-2447
- Phone
- (501) 217-8200
Authorized Official
- Name
- MR. RICHARD TIMOTHY EVANS, BS, CCT
- Title
- PRESIDENT- DELTA WAVE, LLC
- Phone
- (877) 840-1840
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physiological Laboratory |
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