Provider profile

Individual

Ethan Latimer

Radiology in Fayetteville, AR. NPI 1184086712, listed in the CMS NPI Registry since 03/23/2016. Bills Medicare.

NPI 1184086712Specialty RadiologyEnumerated 03/23/2016
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Registry and Medicare facts

Practice location
3215 N Northhills Blvd, Fayetteville, AR 72703
CMS NPI Registry
Phone
(479) 463-1000
CMS NPI Registry
Specialty
Radiology
CMS NPI Registry
Subspecialty
Diagnostic Radiology
CMS NPI Registry
Enumeration date
03/23/2016
CMS NPI Registry
Bills Medicare
Yes
CMS Medicare 2024
Medicare patients
2,963 Part B
CMS Medicare 2024

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