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Roger L Tilley, MD
General Practice Physician in Benton, Arkansas
NPI 1548366354

Roger L Tilley is a General Practice Physician based in Benton, AR. Roger L Tilley practices in Benton, AR and has the professional credentials of MD. The NPI Number for Roger L Tilley is 1548366354 and holds a License No. C5458 (Arkansas).

The current practice location address for Roger L Tilley is 624 Alcoa, Benton, AR and can be reached out via phone at 501-315-4512 and via fax at 501-315-0917.

Location: 624 Alcoa, Benton, AR, 72015-3404
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548366354
Provider Name
Roger L Tilley
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
624 Alcoa, Benton, AR, 72015-3404
Phone Number
501-315-4512
Fax Number
501-315-0917
Provider Enumeration Date
09/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
105495001 05 AR
institution
Provider Business Practice Location Address Details
Address
624 Alcoa
City
Benton
State
Arkansas
Zip
72015-3404
Phone Number
501-315-4512
Fax Number
501-315-0917
person
Provider Business Mailing Address Details
Address
624 Alcoa
City
Benton
State
Arkansas
Zip
72015-3404
Phone Number
501-315-4512
Fax Number
501-315-0917
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
C5458 (Arkansas)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
C5458 (Arkansas)
Definition
Definition to come...
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