| Dr Mary Evelyn Bourland, MD | |
|
2708 Rife Medical Ln, Suite 210, Rogers, AR 72758-1452 | |
| (479) 338-3888 | |
| (479) 338-4453 |
| Full Name | Dr Mary Evelyn Bourland |
|---|---|
| Gender | Female |
| Speciality | Surgery - Vascular Surgery |
| Location | 2708 Rife Medical Ln, Rogers, Arkansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164480679 | NPI | - | NPPES |
| 122998001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | E4355 (Arkansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary Evelyn Bourland, MD 2708 Rife Medical Ln, Suite 210, Rogers, AR 72758-1452 Ph: (479) 338-3888 | Dr Mary Evelyn Bourland, MD 2708 Rife Medical Ln, Suite 210, Rogers, AR 72758-1452 Ph: (479) 338-3888 |
Dr. Pradeep Kumar Pallati, M.D Surgery Medicare: Medicare Enrolled Practice Location: 1001 S Horsebarn Rd, Rogers, AR 72758 Phone: 479-273-7700 Fax: 479-464-7734 | |
Erin Caldwell Green, Surgery Medicare: Medicare Enrolled Practice Location: 1001 S Horsebarn Rd, Rogers, AR 72758 Phone: 479-273-7700 Fax: 479-464-7734 | |
Dr. Ed W. Childs, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1001 S Horsebarn Rd, Rogers, AR 72758 Phone: 479-273-7700 Fax: 479-464-7734 | |
Mr. Mario E Costaldi, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 8051 Deer Trl, Rogers, AR 72756 Phone: 476-936-1537 | |
Dr. Dominic Andrew Massary Iii, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 4803 W Highland Knolls Rd Ste 300, Rogers, AR 72758 Phone: 479-265-4746 | |
James P Irwin, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 1001 S Horsebarn Rd, Rogers, AR 72758 Phone: 479-273-7700 Fax: 479-464-7734 |