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.
|Practice Location||5 Cunningham Cor, Bella Vista, AR 72714-3520, US|
|Practice Location Phone||479-855-1247|
|Practice Location Fax||479-855-1249|
|Legal Business Name||UBBEN DERMATOLOGY CLINIC|
|Enumeration Date ?||May 15, 2006|
|Last Update Date ?||May 12, 2011|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Specialist||Other Service Providers||C-8212||Arkansas|
|Provider Id||Issuer State||Issuer Type||Issuer|
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/Position||OWNER|
|Authorized Official Phone Number||479-855-1247|