NPI 1457325417 · live from the CMS NPI Registry
Annette M Enderlin, M.D.
Ophthalmology in Benton, AR. National Provider Identifier 1457325417, active.
NPI record
| NPI | 1457325417 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 3 Medical Park Dr, Suite 300, Benton, AR 72015 |
| Practice phone | 501-778-1113 |
| Mailing address | 3 Medical Park Dr Ste 300, Benton, AR 72015 |
| Enumerated | February 15, 2006 |
| Last updated | September 30, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | C7476 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.