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Ubben Dermatology Clinic

Ubben Dermatology Clinic is a health care provider in Bella Vista, AR. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 5 Cunningham Cor, Bella Vista, AR 72714-3520, US
Practice Location Phone479-855-1247
Practice Location Fax479-855-1249
Legal Business NameUBBEN DERMATOLOGY CLINIC
NPI ?1194776906
Entity TypeOrganization
Enumeration Date ? May 15, 2006
Last Update Date ? May 12, 2011
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Ubben Dermatology Clinic

SpecialtySpecializationLicenseLicense State
Specialist C-8212Arkansas

legacy-id-icon Legacy Provider IDs of Ubben Dermatology Clinic

Provider IdIssuer StateIssuer TypeIssuer
122172001ArkansasMedicaid

official-icon Authorized Official of Ubben Dermatology Clinic

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Ubben Dermatology Clinic's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Kenneth L Ubben (M.D.)
Authorized Official Title/PositionOWNER
Authorized Official Phone Number479-855-1247