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Diana Kay Braziel, PA-C
Urology Physician in Bentonville, Arkansas
NPI 1225297260

Diana Kay Braziel is a Urology Physician based in Bentonville, AR. Diana Kay Braziel practices in Bentonville, AR and has the professional credentials of PA-C. The NPI Number for Diana Kay Braziel is 1225297260 and holds a License No. P-T0807 (Arkansas).

The current practice location address for Diana Kay Braziel is 3400 Se Macy Road, Bentonville, AR and can be reached out via phone at 479-268-6800 and via fax at 479-268-6802.

Location: 3400 Se Macy Road, Bentonville, AR, 72712
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225297260
Provider Name
Diana Kay Braziel
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
3400 Se Macy Road, Bentonville, AR, 72712
Phone Number
479-268-6800
Fax Number
479-268-6802
Provider Enumeration Date
06/05/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA-342 01 AR ARKANSAS STATE MEDICAL BOARD LICENSE NUMBER
P-T0807 01 AR TEMPORARY LICENSE STATE OF ARKANSAS
1081767 01 NCCPA CERTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
3400 Se Macy Road
City
Bentonville
State
Arkansas
Zip
72712
Phone Number
479-268-6800
Fax Number
479-268-6802
person
Provider Business Mailing Address Details
Address
3400 Se Macy Road
City
Bentonville
State
Arkansas
Zip
72712
Phone Number
479-268-6800
Fax Number
479-268-6802
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
PA-342 (Arkansas)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
P-T0807 (Arkansas)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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