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NPI Code Detail

MEDICARE: HIGHLANDS ONCOLOGY GROUP PA

MEDICARE: HIGHLANDS ONCOLOGY GROUP PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207VX0201XGynecologic Oncology PhysicianE-6436AR
22085R0001XRadiation Oncology PhysicianARK-014-ACC-08-08AR
3208800000XUrology Physician
4207RH0003XHematology & Oncology PhysicianMC-1660AR

Other Identifiers

General Provider Information

NPI Number : 1346211323
Entity Type Code : Organization
Provider Name (Legal Business Name) : HIGHLANDS ONCOLOGY GROUP PA
Provider Business Mailing Address
First Line : 3901 PARKWAY CIR
Second Line :
City : SPRINGDALE
State : AR
Zip : 72762-6362
Country : US
Telephone Number : 479-587-1700
Fax Number : 479-587-1366
Provider Business Practice Location Address
First Line : 3901 PARKWAY CIR
Second Line :
City : SPRINGDALE
State : AR
Zip : 72762-6362
Country : US
Telephone Number : 479-587-1700
Fax Number : 479-587-1366
Authorized Official
Title or Position : CREDENTIALING COORDINATOR
Name : TERESA NAGY
Credential :
Telephone Number : 479-313-6888
Provider Enumeration Date : 01/30/2006
Last Update Date : 04/10/2024

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Directions to “HIGHLANDS ONCOLOGY GROUP PA ” Practice Location

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