NPI 1639346240 · live from the CMS NPI Registry
Holli Beth Bagwell, D.O.
Pediatrics, Pediatric Emergency Medicine in Springdale, AR. National Provider Identifier 1639346240, active.
NPI record
| NPI | 1639346240 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Pediatric Emergency Medicine 2080P0204X |
| Practice location | 2601 Gene George Blvd, Springdale, AR 72762 |
| Practice phone | 479-725-6977 |
| Mailing address | 1 Childrens Way # 844, Little Rock, AR 72202 |
| Enumerated | May 13, 2008 |
| Last updated | November 22, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Pediatric Emergency Medicine primary | 2080P0204X | E-7049 (AR) |
| Pediatrics, Pediatric Emergency Medicine | 2080P0204X | 2014025044 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.