| Roy E Denton Md Pa | |
|
2210 Robinson Ave Conway AR 72034-4943 | |
| (501) 932-3500 | |
| (501) 932-3520 |
| Full Name | Roy E Denton Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2210 Robinson Ave, Conway, Arkansas |
| Authorized Official Name and Position | Neida Byrd (BILLIING MANAGER) |
| Authorized Official Contact | 9017373071 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roy E Denton Md Pa 1138 N Germantown Pkwy # 101-377 Cordova TN 38016-5872 Ph: (901) 737-3071 | Roy E Denton Md Pa 2210 Robinson Ave Conway AR 72034-4943 Ph: (501) 932-3500 |
| NPI Number | 1093837619 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 02/21/2018 |
| Medicare PECOS PAC ID | 7214129238 |
|---|---|
| Medicare Enrollment ID | O20101008000989 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093837619 | NPI | - | NPPES |
| 116106001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | C7072 (Arkansas) | Primary |
| Provider Name | Roy E Denton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437107703 PECOS PAC ID: 7719179738 Enrollment ID: I20101008001070 |
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