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Contact Information

OUTPATIENT RADIOLOGY CLINIC PA
200 SOUTH ROHDES
STE B
WEST MEMPHIS, AR72301
 Phone: 870-735-5555
 Fax: 870-735-5660
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for OUTPATIENT RADIOLOGY CLINIC PA · (Female)

NPI # 1265651459
Status Active
Credentials
Entity Individual
Enumeration date 04/25/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • AR License # C6304
  • TN License # MD14662
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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