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NPI Provider: 1609872142
Contact Name: Riddle L Teresa
Position: President/Owner
Phone: (479) 936-7050
Dtr Medical, Inc Information:
Dtr Medical, Inc organization have npi 1609872142, taxonomy code is 332B00000X with license number is 22077 in . This Business address located in 122 S 1st St, Rogers, AR 72756 Arkansas. Get directions of Dtr Medical, Inc.
Practice Location
Address: 122 S 1st St, Rogers, AR 72756
Phone: (479) 936-7050
Business Location
Address: 122 S 1st St, Rogers, AR 72756
Phone: (479) 936-7050
Fax: (479) 936-7080
Taxonomy
Taxonomy Code: 332B00000X
License Number: 22077
License Number of State: KS
Primary Taxonomy Switch: Y
Enumeration Date: 6/21/2005
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