Fort Smith Medical Center Llc

NPI 1770871881 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1770871881
Enumeration Date 07/11/2011
Last Updated 09/02/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name TONYA DEANN TONYA
Position OWNER
Phone (479) 434-3131
Fax (479) 434-3135
Practice Location
3811 ROGERS AVE
SUITE A
FORT SMITH AR, 72903-3045, US
Phone (479) 434-3131
Fax (479) 434-3135
Business Location
PO BOX 11316
FORT SMITH AR, 72917-1316, US
Phone (479) 434-3131
Fax (479) 434-3135
Toxanomy
Taxonomy Code 363L00000X
License State Arkansas
License Number A01596
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According to our database, Fort Smith Medical Center Llc NPI is 1770871881, taxonomy code is 363L00000X and license number is A01596, license state is located at Arkansas. Fort Smith Medical Center Llc physically located at 3811 Rogers Ave, Fort Smith AR, 72903-3045. NPI Number 1033115704 has the healthcare provider type.

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1770871881 NPI number is provided on an as is basis without warranty of any kind. 1770871881 is maintained by the National Plan & Provider Enumeration System. The contents of Fort Smith Medical Center Llc are for informational purposes only.