Core Empowerment Group LLC

NPI #1962631523 in Benton, Arkansas

Provider Information

NPI Number
1962631523
Entity Type
Organization
Organization Name
Core Empowerment Group LLC
Primary Specialty
Clinic/Center - Genetics
Enumeration Date
Jul 3, 2009
Last Updated
Jul 3, 2009

Practice Location

Address
17724 INTERSTATE 30
Address 2
STE 2
City
Benton
ZIP Code
72019-2907
Phone
(501) 920-7901

Authorized Official

Name
DR. WILLIAM R COLLIE IV, M.D.
Title
COO
Phone
(501) 920-7901

Specialties & Taxonomy Codes

Specialty
Clinic/Center - GeneticsGenetics

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