Rediclinic LLC

NPI #1417075565 in Rogers, Arkansas

Provider Information

NPI Number: 1417075565
Entity Type: Organization
Organization Name: Rediclinic LLC
Primary Specialty: Clinic/Center
Enumeration Date: Mar 27, 2007
Last Updated: Jan 2, 2009

Practice Location

Address: 4208 PLEASANT CROSSING BLVD
City: Rogers
State: Arkansas
ZIP Code: 72758-1345
Phone: (866) 607-7334

Authorized Official

Name: MR. ERIC FOURNET
Title: CFO
Phone: (866) 607-7334

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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